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Thomas Tarasovich
NPI 1609302538 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1207 Troy Schenectady Rd Ste 102
Latham, NY 12110 - Phone
- (518) 213-4468
- Fax
- (518) 213-4471
- Organisation at this address
- Capital Area Hudson Valley New York Dental Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
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