Individual
MRS. MIRIAM TARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
649 39TH ST, BROOKLYN, NY 11232-3101
(718) 972-0880
(718) 972-0696
Mailing address
649 39TH STREET, CHALLENGE EARLY INTERVENTION CENTER, BROOKLYN, NY 11232
(718) 972-0880
(718) 972-0696
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
011558
NY
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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