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NPI Code Detail

MEDICARE: TAMAR ANNE PRAGER N.P.

MEDICARE:   TAMAR ANNE PRAGER  N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF305955-1NY

General Provider Information

NPI Number : 1174870349
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMAR ANNE PRAGER N.P.
Provider Business Mailing Address
First Line : 123 W 86TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-3419
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 W 86TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-3419
Country : US
Telephone Number : 212-877-2833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 08/07/2012

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Directions to “ TAMAR ANNE PRAGER N.P.” Practice Location

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