Provider Demographics
NPI:1962759100
Name:DOWLING, TARA
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:DOWLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W 37TH ST
Mailing Address - Street 2:APT. 5R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-5628
Mailing Address - Country:US
Mailing Address - Phone:516-668-3609
Mailing Address - Fax:
Practice Address - Street 1:400 W 37TH ST
Practice Address - Street 2:APT. 5R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-5628
Practice Address - Country:US
Practice Address - Phone:516-668-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist