Healthcare Provider Details

I. General information

NPI: 1811998115
Provider Name (Legal Business Name): DENIS FRANCIS TARRANT NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 MEADOW ST
PEARL RIVER NY
10965-1912
US

IV. Provider business mailing address

52 MEADOW ST
PEARL RIVER NY
10965-1912
US

V. Phone/Fax

Practice location:
  • Phone: 718-274-0129
  • Fax: 212-202-4978
Mailing address:
  • Phone: 718-274-0129
  • Fax: 212-202-4978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF303365
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: