Individual
GARY TATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595-1646
(914) 493-7513
(914) 493-1281
Mailing address
95 GRASSLANDS RD, VALHALLA, NY 10595-1533
(914) 493-7513
(914) 493-1281
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
14251653-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
220542
NY
208M00000X
Hospitalist Physician
14251653-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138329
—
CT
05
—
02206031
—
NY
Enumeration date
08/02/2005
Last updated
01/29/2026
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