Individual
ELENITA TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
Mailing address
68 BERGEN TPKE, RIDGEFIELD PARK, NJ 07660-2314
(201) 641-5928
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
155022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01268524
—
NY
Enumeration date
07/20/2006
Last updated
07/08/2007
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