Whalio Doctors

NPI 1013691690

Tara Pross, TRICHOLOGIST

Practitioner Prosthetic/Orthotic Supplier Marlboro, NY

Practice location

Address
10 Western Ave, Marlboro, NY 12542-6164
Phone
(845) 863-9977
Mailing address
522 Lattintown Rd, Marlboro, NY 12542-5158

Registered specialties

Prosthetic/Orthotic Supplier Primary
Suppliers Taxonomy 335E00000X Licence AJ12DYPTNY (NY)

Registry record

NPI
1013691690
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Jun 2023
Record last updated
14 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.