Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA ANN KOCH, P.A.
Active Sole ProprietorTARA ANN KOCH, P.A. is a Physician Assistant healthcare provider located in WOODBURY, New York. NPI 1497908487 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WOODBURY, NY
Registration Details
- NPI Number
- 1497908487
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2008 (17.777577481626 yrs)
- Last Updated
- Feb 3, 2016
- License
-
012983 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 WOODBURY RDWOODBURY, NY, 117972503Browse NY providers · Browse ZIP 11797
- Phone
- 5164969400
- Fax
- 5164969212
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WOODBURY, NY
| Name | Credential | NPI |
|---|---|---|
| EUGENE G BUTTA | PA | 1447298310 |
| MRS. TERAH J STIELL | PA-C | 1629105713 |
| MRS. THERESA M GENTILE | RPA-C | 1841418480 |
| MS. ARIANA ZAZA | RPA-C | 1639486434 |
| JESSICA DIZINNO | — | 1124490750 |
| ASHLEY KALLINIKOS | PA-C | 1114446382 |
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.