Individual
DANIEL W TARALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-4073
(845) 692-8780
Mailing address
384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941-4073
(845) 692-8780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013699
NY
Other
Enumeration date
11/05/2009
Last updated
05/16/2023
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