MRS. Vanessa Ann Tajalle, M.S.

NPI #1063814622 in Brentwood, New York

Provider Information

NPI Number: 1063814622
Entity Type: Individual
Name: MRS. Vanessa Ann Tajalle, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 61 CHAPEL HILL DR
City: Brentwood
State: New York
ZIP Code: 11717-1925
Phone: (631) 434-8852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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