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NPI Code Detail

MEDICARE: ANTONIETTA TARNELL

MEDICARE:   ANTONIETTA  TARNELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist016101NY

General Provider Information

NPI Number : 1841305778
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIETTA TARNELL
Provider Business Mailing Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-244-9400
Fax Number : 800-275-3671
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-244-9400
Fax Number : 800-275-3671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 01/03/2014

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Directions to “ ANTONIETTA TARNELL ” Practice Location

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