Talis, Igor A.
Talis, Igor A. is an sole proprietor health care provider with primary practice located at 5115 Beach Channel Dr Pmc, Far Rockaway NY 11691-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Talis, Igor A. can be contacted via phone (718) 734-3027.Contact Information
Primary practice address
5115 Beach Channel Dr Pmc
Far Rockaway NY 11691-1042
Phone: (718) 734-3027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 253007 | New York |
Profile Details
| NPI number | 1457561920 |
|---|---|
| LBN Legal business name | Talis, Igor A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jun 5th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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