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

MRS. TARA LYNN GLENN

Active

MRS. TARA LYNN GLENN is a Specialist healthcare provider located in MANORVILLE, New York. NPI 1245591072 is currently active in the NPPES registry. Verify at CMS.

Specialist · MANORVILLE, NY

Registration Details

NPI Number
1245591072
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2012 (14.161966006868 yrs)
Last Updated
Jun 7, 2012
Licenses
502823111 (NY)
502824111 (NY)
423343101 (NY)
423342101 (NY)

Practice Information

Address
34 WINDING PATH
APARTMENT 4
MANORVILLE, NY, 119492279
Browse NY providers · Browse ZIP 11949
Phone
6318486336
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Additional Specialty
Specialist
Additional Specialty
Specialist

Other Specialist Providers in MANORVILLE, NY

Name Credential NPI
NANCY LANG BENITEZ M.S.,ED 1679618680
MRS. RHONDA BETH SNELL M.S. ED. 1881721983
VICTOR BELLO PA 1356636468
MRS. NINA MICHELLE FAGAN 1124389036
CHRISTINE E RACCA MS ED, S.D.A. 1205198801
MRS. EDWILDA HENRY-PETIT M.S.E.D 1902169576
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.