Tara Dirks
Specialist in New Windsor, NY. Individual provider (NPI-1).
NPI number1619239233
StatusActive
Last updated in NPPESMar 10, 2015
Details
- NPI
- 1619239233
- Entity type
- Individual (NPI-1)
- Name
- Tara Dirks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2012
- Last updated
- Mar 10, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1867802 | – | Yes |
Practice location
144 Shore DrNew Windsor, NY 12553-5486
Phone 845-590-1269
Mailing address
144 Shore DrNew Windsor, NY 12553-5486
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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