Tara Lynn Zickerman, P.A.

NPI #1093840605 in Roslyn, New York

Provider Information

NPI Number: 1093840605
Entity Type: Individual
Name: Tara Lynn Zickerman, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Feb 22, 2007
Last Updated: Apr 3, 2009

Practice Location

Address: 100 PORT WASHINGTON BLVD
City: Roslyn
State: New York
ZIP Code: 11576-1353
Phone: (516) 338-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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