Emmitt Tabor

NPI #1154293538 in Coram, New York

Provider Information

NPI Number
1154293538
Entity Type
Individual
Name
Emmitt Tabor
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker
Enumeration Date
Sep 23, 2025
Last Updated
Sep 23, 2025

Practice Location

Address
3600 ROUTE 112
City
Coram
ZIP Code
11727-4116
Phone
(631) 920-8302

Specialties & Taxonomy Codes

Specialty
Social Worker

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