Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 173808 | NY |
N | 111NI0900X | Internist | 173808 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 173808 | NY |
NPI | 1063426641 |
---|---|
Provider Name | Nancy S. Tarlin |
First Address | Elmhurst, NY 11373-1329 |
Second Address | Elmhurst, NY 11373-1329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 11/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01291950 | (05) | NY |
E97228 | (02) | NY |