Tara Wight

NPI #1114620366 in Floral Park, New York

Provider Information

NPI Number: 1114620366
Entity Type: Individual
Name: Tara Wight
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 110 JERICHO TPKE STE 212
City: Floral Park
State: New York
ZIP Code: 11001-2019
Phone: (516) 263-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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