Tara Lynn Zickerman in Port Washington - Physician Assistant
Tara Lynn Zickerman - NPI 1093840605
Tara Lynn Zickerman is a Physician Assistant in Port Washington, New York. Tara Lynn Zickerman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tara Lynn Zickerman is 1093840605. The last update date is 2009-04-03.
Tara Lynn Zickerman's current location address is Po Box 1048, Port Washington, New York. You can contact this provider via phone number 5163385300. The mailing address for Tara Lynn Zickerman is Po Box 1048, Port Washington, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Lynn Zickerman |
|---|---|
| Address | Po Box 1048, Port Washington, New York |
| Phone Number | 5163385300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1093840605 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2009-04-03 |
Provider Mailing Address Detail
| Address | Po Box 1048 |
|---|---|
| City | Port Washington |
| State | New York (NY) |
| Post Code | 110501048 |
| Phone Number | 5163385300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6110 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Tara Lynn Zickerman by the Centers for Medicare & Medicaid Services?
The Tara Lynn Zickerman has been issued the NPI (National Provider Identifier) 1093840605 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tara Lynn Zickerman located?
The Tara Lynn Zickerman is located at Po Box 1048, Port Washington, NY 110501048.
What is the area of specialization for Tara Lynn Zickerman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tara Lynn Zickerman is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Tara Lynn Zickerman receive its 1093840605 assignment from the Centers for Medicare & Medicaid Services?
The Tara Lynn Zickerman was assigned its 1093840605 on 2007-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tara Lynn Zickerman most recently updated or revised?
The details related to Tara Lynn Zickerman, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-03.
NPI Number: 1972504124
Address: 21 Business Park Dr, Branford, CT