Phyllis A Tarallo DNP,DCC,FNP-C

NPI 1043217300 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1043217300
Gender Female
Enumeration Date 07/01/2005
Last Updated 09/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
718 TEANECK RD
TEANECK NJ, 07666-4245, US
Phone (212) 305-0448
Fax (212) 342-5600
Business Location
PO BOX 27036
NEW YORK NY, 10087-7036, US
Phone (212) 305-0914
Fax (212) 305-4343
Toxanomy
Taxonomy Code 363LW0102X
License State New York
License Number 333859
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According to our database, Dr. Phyllis A Tarallo DNP,DCC,FNP-C NPI is 1043217300, taxonomy code is 363LW0102X and license number is 333859, license state is located at New York. Phyllis A Tarallo DNP,DCC,FNP-C physically located at 718 Teaneck Rd, Teaneck NJ, 07666-4245. NPI Number Phyllis A Tarallo DNP,DCC,FNP-C has the Individual type.

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1043217300 NPI number is provided on an as is basis without warranty of any kind. 1043217300 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis A Tarallo DNP,DCC,FNP-C are for informational purposes only.