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Individual

DR. PHYLLIS A TARALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP,DCC,FNP-C

Contact information

Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(212) 305-0448
(212) 342-5600
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 305-0914
(212) 305-4343

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00125100
NJ
363LF0000X
Family Nurse Practitioner
333859
NY
363LP2300X
Primary Care Nurse Practitioner
333859
NY
363LW0102X
Women's Health Nurse Practitioner
333859
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0269026
NY
Enumeration date
07/01/2005
Last updated
02/03/2025
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