MS. Tara Olideyka Crossman
NPI #1073022174 in Long Island City, New York
Provider Information
- NPI Number
- 1073022174
- Entity Type
- Individual
- Name
- MS. Tara Olideyka Crossman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Sep 21, 2017
- Last Updated
- Sep 21, 2017
Practice Location
- Address
- 1430 BROADWAY
- City
- Long Island City
- State
- New York
- ZIP Code
- 11106-4530
- Phone
- (347) 256-1989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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