Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tara Lynn Glenn

Individual provider Specialist · NPI 1245591072

Mrs. Tara Lynn Glenn is a Specialist in Manorville, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

34 Winding Path Apt 4
Manorville, NY 11949-2279
Phone: (631) 848-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 502823111 (NY)
Specialist Taxonomy 174400000X · Licence 502824111 (NY)
Specialist Taxonomy 174400000X · Licence 423343101 (NY)
Specialist Taxonomy 174400000X · Licence 423342101 (NY)

Record details

NPI number1245591072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012

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