Individual
DR. ALBERT P TARASUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5842 MAIN ST, FLUSHING, NY 11355-5336
(718) 353-3710
(718) 463-0400
Mailing address
5842 MAIN ST, FLUSHING, NY 11355-5336
(718) 353-3710
(718) 463-0400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
094925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00156749
—
NY
Enumeration date
07/13/2005
Last updated
09/29/2015
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