Tara Botter, RN
NPI #1467907279 in Ronkonkoma, New York
Provider Information
- NPI Number
- 1467907279
- Entity Type
- Individual
- Name
- Tara Botter, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Aug 22, 2016
- Last Updated
- Aug 22, 2016
Practice Location
- Address
- 75 PARK AVE
- City
- Ronkonkoma
- State
- New York
- ZIP Code
- 11779-1727
- Phone
- (631) 605-5522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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