Individual provider · NPI-1

Tara Ann Bideiwy

Nurse Practitioner, Family · Valhalla, NY

NPI number1194602797
StatusActive
Last updated in NPPESAug 18, 2025

Details

NPI
1194602797
Entity type
Individual (NPI-1)
Name
Mrs. Tara Ann Bideiwy
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2025
Certification date
Aug 18, 2025
Last updated
Aug 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family357362NYYes

Other names

  • Tara Ann Smith (Former Name)

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-7000

Mailing address

100 Woods Rd
Valhalla, NY 10595-1530

Phone 914-493-7000

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