TARA GROSSKOPF

HUNTINGTON, NY
NPI1992804322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: NY  010293-1)
Enumeration Date2006-09-22
Last Update Date2018-05-08
Business Address
TARA GROSSKOPF
196 E MAIN ST
HUNTINGTON, NY 11743-2922
Phone number: 631-271-8030
Mailing Address
TARA GROSSKOPF
196 E MAIN ST
HUNTINGTON, NY 11743-2922
Phone number: 631-271-8030
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