National Provider Identifier
Tienahosa Tara Diabo
Tienahosa Tara Diabo is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 871-9883.
Profile Overview
- NPI
- 1699073130
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- March 08, 2011
- Last Updated
- March 08, 2011
Practice Location
- 2900 Delaware Ave
- Kenmore, NY 14217-2309
Phone: (716) 871-9883
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1699073130
- Entity Type
- Individual
- Last Name
- Diabo
- First Name
- Tienahosa
- Middle Name
- Tara
- Mailing Street Address
- 2900 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2309
- Mailing Country
- US
- Mailing Phone
- (716) 871-9883
- Mailing Fax
- (716) 871-9887
- Practice Street Address
- 2900 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2309
- Practice Country
- US
- Practice Phone
- (716) 871-9883
- Practice Fax
- (716) 871-9887
- Enumeration Date
- March 08, 2011
- Last Updated
- March 08, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)