Individual
MARC TARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 SQUADRON BLVD, # 560, NEW CITY, NY 10956-5200
(845) 639-9650
(845) 639-0727
Mailing address
20 SQUADRON BLVD, # 560, NEW CITY, NY 10956-5200
(845) 639-9650
(845) 639-0727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
141348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00725517
—
NY
Enumeration date
03/06/2007
Last updated
07/08/2007
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