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Tara Mims, M.S
NPI 1467036863 · on the registry since 2021 · sole proprietor
Practice
- Address
- 100 Gibson Blvd
Valley Stream, NY 11581 - Phone
- (212) 444-8881
- Fax
- (914) 229-2022
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-11
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