Most Relevant Information
Provider Data
| NPI Number: | 1003363268 |
| Provider Name: | TARAH L LENYK MSED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 727731131 |
Most Important Dates
| Enumeration Date: | 09/06/2016 |
| Last Updated: | 09/06/2016 |
Provider Practice Location
435 4TH ST
TROY
NY
121805324
Practice Location Phone/Fax
| Phone: | 5182715777 |
| Fax: |
Provider Mailing Location
1879 HIGHLAND AVE
TROY
NY
121803717
Provider Mailing Phone/Fax
| Phone: | 5188672872 |
| Fax: |