Organization
DR. IRA TARTACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA MELVIN TARTACK D.P.M. (DOCTOR/OWNER)
(718) 769-7800
Entity
Organization
Contact information
Practice address
2650 OCEAN PKWY, #LA, BROOKLYN, NY 11235-7749
(718) 769-7800
(718) 934-5478
Mailing address
2650 OCEAN PKWY, #LA, BROOKLYN, NY 11235-7749
(718) 769-7800
(718) 934-5478
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N002391
NY
332BC3200X
Customized Equipment (DME)
N002391
NY
335E00000X
Prosthetic/Orthotic Supplier
N002391
NY
Other
Enumeration date
01/07/2008
Last updated
01/14/2008
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