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1902412463
TARA SHELLEY
WHITE PLAINS, NY
NPI
1902412463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 025548)
Enumeration Date
2020-09-21
Last Update Date
2024-03-05
Business Address
TARA SHELLEY
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604-2901
Phone number: 914-682-6532
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Mailing Address
TARA SHELLEY
1345 AVENUE OF THE AMERICAS FL 8
NEW YORK, NY 10105-0018
Phone number: 908-588-3635
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