Provider Demographics
NPI:1750595849
Name:SNEAG, TARA OSTROWE (RD)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:OSTROWE
Last Name:SNEAG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RIVERSIDE BLVD
Mailing Address - Street 2:APT. 9J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0701
Mailing Address - Country:US
Mailing Address - Phone:917-991-3521
Mailing Address - Fax:
Practice Address - Street 1:3009 BROADWAY
Practice Address - Street 2:BROOKS LOWER LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6905
Practice Address - Country:US
Practice Address - Phone:212-854-8993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered