Tallaj, Ramon Modesto

Tallaj, Ramon Modesto is an sole proprietor health care provider with primary practice located at 571 Academy Street , New York NY 10034. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Tallaj, Ramon Modesto can be contacted via phone (212) 567-0550.

Contact Information

Primary practice address
571 Academy Street New York NY 10034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 204704 New York

Profile Details

NPI number 1487753497
LBN Legal business name Tallaj, Ramon Modesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Jan 27th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487753497 NPPES
New York MEDICAID 1719671

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