# TARA ROSE NIZAMOV, PA
> **PHYSICIAN ASSISTANT** · PATCHOGUE, NY
## Provider
- **NPI:** 1558179093
- **Credential:** PA
- **Primary specialty:** PHYSICIAN ASSISTANT
- **Gender:** Female
- **Medical school:** MERCY COLLEGE
- **Graduation year:** 2024
## Practice
- **Address:** 101 HOSPITAL RD, PATCHOGUE, NY 117724870
- **Phone:** 6316874131
- **Accepts Medicare assignment:** Yes (individual)
- **Telehealth:** No
## Source
- [NPI Registry](https://npiregistry.cms.hhs.gov/provider-view/1558179093)
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