National Provider Identifier
Tara Sacko
Tara Sacko is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (607) 235-3980.
Profile Overview
- NPI
- 1831913839
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
Practice Location
- 2099 W Ridge RD
- Rochester, NY 14626-2728
Phone: (607) 235-3980
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1831913839
- Entity Type
- Individual
- Last Name
- Sacko
- First Name
- Tara
- Provider Other Last Name
- Krist
- Provider Other First Name
- Tara
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2099 W Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-2728
- Mailing Country
- US
- Practice Street Address
- 2099 W Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-2728
- Practice Country
- US
- Practice Phone
- (607) 235-3980
- Enumeration Date
- November 14, 2024
- Last Updated
- November 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)