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NPI Code Detail

MEDICARE: TARA MARIE JUDE EYMA M.D.

MEDICARE:   TARA MARIE JUDE EYMA  M.D.
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
12084P0800XPsychiatry Physician268219NY

General Provider Information

NPI Number : 1669787792
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA MARIE JUDE EYMA M.D.
Provider Business Mailing Address
First Line : 184 LIBERTY ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06519-1625
Country : US
Telephone Number : 203-688-1616
Fax Number :
Provider Business Practice Location Address
First Line : 10 PEARL ST FL 2
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4611
Country : US
Telephone Number : 914-265-2762
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 06/22/2026

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Directions to “ TARA MARIE JUDE EYMA M.D.” Practice Location

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