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

Mrs. Tara Michelle Niedzialkowski, PA

Individual provider Medical Physician Assistant · NPI 1215216551

Mrs. Tara Michelle Niedzialkowski, PA is a Medical Physician Assistant in Norwich, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

55 Calvary Dr
Norwich, NY 13815-1032
Phone: (607) 336-6362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1215216551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESJanuary 3, 2012