Search › New York › 174400000X
Tara Jensen
NPI 1992195408 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7 Pine St
Lake Ronkonkoma, NY 11779 - Phone
- (631) 875-3590
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 252Y00000X
- Sex
- Female
- Record last updated
- 2015-02-04
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