Tara Manny, PA
NPI #1760858534 in Queensbury, New York
Provider Information
- NPI Number
- 1760858534
- Entity Type
- Individual
- Name
- Tara Manny, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 17, 2015
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 25 WILLOWBROOK RD STE 2
- City
- Queensbury
- State
- New York
- ZIP Code
- 12804-3137
- Phone
- (518) 793-9156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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