Individual
DAMON V TARANTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65-29 GRAND AVE, MASPETH, NY 11378
(718) 846-9821
(718) 846-9527
Mailing address
65-29 GRAND AVE, MASPETH, NY 11378
(718) 846-9821
(718) 846-9527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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