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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA ROSE SMITH

Active Sole Proprietor

TARA ROSE SMITH is a Anesthesiologist Assistant healthcare provider located in BAY SHORE, New York. NPI 1083322325 is currently active in the NPPES registry. Verify at CMS.

Anesthesiologist Assistant · BAY SHORE, NY

Registration Details

NPI Number
1083322325
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2022 (3.7944946019535 yrs)
Last Updated
Nov 7, 2022
License
220311 (NY)
Sole Proprietor
Yes

Practice Information

Address
120 W MAIN ST
BAY SHORE, NY, 117068314
Browse NY providers · Browse ZIP 11706
Phone
8603736289
Primary Specialty
Anesthesiologist Assistant
246ZA2600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.