Provider Demographics
NPI:1992118392
Name:HERRINGTON, TARAH SUE (LAC)
Entity type:Individual
Prefix:MS
First Name:TARAH
Middle Name:SUE
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 5TH AVE
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0138
Mailing Address - Country:US
Mailing Address - Phone:212-432-1110
Mailing Address - Fax:121-987-1911
Practice Address - Street 1:1045 5TH AVE
Practice Address - Street 2:SUITE 1-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0138
Practice Address - Country:US
Practice Address - Phone:212-432-1110
Practice Address - Fax:121-987-1911
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005141171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist