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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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