Individual
DENISE TARANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-6033
Mailing address
2 FOWLER AVE APT 102, LYNBROOK, NY 11563-2001
(516) 238-3659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308062
NY
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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