TARA JUSTVIG
NPI 1043617145
Specialist in Floral Park, NY

Active since December 04, 2014
46 PRIMROSE AVE, FLORAL PARK, NY 11001(516) 698-1728 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About TARA JUSTVIG

This page provides the complete NPI Profile along with additional information for Tara Justvig, a provider established in Floral Park, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1043617145 assigned on December 2014. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1043617145 Verify this NPI
Provider Name
TARA JUSTVIG
Gender
Female
Entity Type
Individual
Location Address
46 PRIMROSE AVE FLORAL PARK, NY 11001
Location Phone
(516) 698-1728
Mailing Address
46 PRIMROSE AVE FLORAL PARK, NY 11001
Mailing Phone
(516) 698-1728
Is Sole Proprietor?
Yes
Enumeration Date
12-04-2014
Last Update Date
12-04-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043617145, enumerated as an "individual" on December 04, 2014.

The provider is located at 46 PRIMROSE AVE FLORAL PARK, NY 11001 and the phone number is (516) 698-1728.

Specialist with taxonomy code 174400000X.