Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA C EY-DEFAZIO, TSHH/DHH
Active Sole ProprietorSpecialist · LONG BEACH, NY
Registration Details
- NPI Number
- 1629332887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2012 (13.831361048186 yrs)
- Last Updated
- Jul 2, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
67 ARIZONA AVELONG BEACH, NY, 115611531Browse NY providers · Browse ZIP 11561
- Phone
- 5168184749
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LONG BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| DR. SUMATHY REDDY | M.D., F.A.A.F.P. | 1992871032 |
| MS. LISA MARIE WISEL | MS,ADTR-LCAT | 1265643860 |
| LISA GAIL PHILLIPS-SULLIVAN | ART THERAPIST | 1790958254 |
| MISS MELISSA ANNE SPINELLI | OTR/L | 1740433887 |
| MR. HUGO PETER VAN DIJK | PT, MBA | 1316186844 |
| KERI BRUCATO | M.ED. | 1376776310 |
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.