SHANE TATAR

MERRICK, NY
NPI1770932303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  019324)
Enumeration Date2016-06-04
Last Update Date2023-05-23
Business Address
SHANE TATAR PA
389 MERRICK AVE
MERRICK, NY 11566-2723
Phone number: 516-867-5132
Mailing Address
SHANE TATAR PA
221 BROADWAY 207
AMITYVILLE, NY 11701-2780
Phone number: 631-598-0009
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