Provider Demographics
NPI:1295582237
Name:TAGER, AHARON J
Entity type:Individual
Prefix:
First Name:AHARON
Middle Name:J
Last Name:TAGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 JACARUSO DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2529
Mailing Address - Country:US
Mailing Address - Phone:845-263-2853
Mailing Address - Fax:845-352-2216
Practice Address - Street 1:30 JACARUSO DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2529
Practice Address - Country:US
Practice Address - Phone:845-263-2853
Practice Address - Fax:845-352-2216
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier