Shane Tatar, PA
Shane Tatar, PA is a Medical Physician Assistant in Merrick, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
389 Merrick AveMerrick, NY 11566-2723
Phone: (516) 867-5132
Fax: (516) 867-5519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 019324 (NY) |
|---|
Record details
| NPI number | 1770932303 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 4, 2016 |
| Last updated in NPPES | May 23, 2023 |
| Certification date | May 23, 2023 |
| Mailing address | 221 Broadway, 207, Amityville, NY 11701-2780 |
Other providers in Merrick
-
Corri Paige Wolf, PA
131 Merrick Rd, Merrick, NY 11566-4542 · (516) 223-1515