Tara Grosskopf
NPI #1992804322 in Huntington, New York
Provider Information
- NPI Number
- 1992804322
- Entity Type
- Individual
- Name
- Tara Grosskopf
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Enumeration Date
- Sep 22, 2006
- Last Updated
- May 8, 2018
Practice Location
- Address
- 196 E MAIN ST
- City
- Huntington
- State
- New York
- ZIP Code
- 11743-2922
- Phone
- (631) 271-8030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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