Damon V Tarantola

NPI #1437797891 in Maspeth, New York

Provider Information

NPI Number: 1437797891
Entity Type: Individual
Name: Damon V Tarantola
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 65-29 GRAND AVE
City: Maspeth
State: New York
ZIP Code: 11378
Phone: (718) 846-9821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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