Tara Mcdermott-banta is a specialist in Massapequa, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Tara Mcdermott-banta NPI is 1124381025. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
107 HAMPTON BLVD
MASSAPEQUA, NY
ZIP 11758-364
Phone: (516) 205-8822
The enumeration date for this NPI number is 6/17/2012 and was last updated on 4/11/2022.