Tarallo, Johanna D
Tarallo, Johanna D is an sole proprietor health care provider with primary practice located at 4914 W Seneca Tpke , Syracuse NY 13215-2225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tarallo, Johanna D can be contacted via phone (315) 468-2827.Contact Information
Primary practice address
4914 W Seneca Tpke
Syracuse NY 13215-2225
Phone: (315) 468-2827
Fax: (315) 469-1742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F301648 | New York |
Profile Details
| NPI number | 1164561536 |
|---|---|
| LBN Legal business name | Tarallo, Johanna D |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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