Healthcare Provider Details

I. General information

NPI: 1225200652
Provider Name (Legal Business Name): BARBARA ANNE TARTAGLIA AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 N BROADWAY SUITE 400
YONKERS NY
10701-1318
US

IV. Provider business mailing address

984 N BROADWAY SUITE 400
YONKERS NY
10701-1318
US

V. Phone/Fax

Practice location:
  • Phone: 914-963-8588
  • Fax: 914-963-0253
Mailing address:
  • Phone: 914-963-8588
  • Fax: 914-963-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001832-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: