Provider Demographics
NPI:1699808030
Name:HOWARD, TARA M (NP , DNP)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:M
Last Name:HOWARD
Suffix:
Gender:F
Credentials:NP , DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2272
Mailing Address - Country:US
Mailing Address - Phone:917-327-8695
Mailing Address - Fax:
Practice Address - Street 1:305 7TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6008
Practice Address - Country:US
Practice Address - Phone:917-280-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400377363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner