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Sara Tackie
NPI 1154561744 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2085 Valentine Ave
Apt 1-L
Bronx, NY 10457 - Phone
- (646) 225-1753
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York