Individual provider · Type 1 NPI
Phyllis A. Tarallo, DNP, DCC, FNP-C
Family Nurse Practitioner · Teaneck, NJ
NPI number
1043217300
Active
Practice location
718 Teaneck Rd
Teaneck, NJ 07666-4245
Fax (212) 342-5600
Mailing address
PO Box 27036
New York, NY 10087-7036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 333859 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | 333859 (NY) |
| Women's Health Nurse Practitioner | 363LW0102X | 333859 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 26NJ00125100 (NJ) |
Family Nurse Practitioner: Definition to come...
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- La'nae Na Gresham, FNPFamily Nurse Practitioner Teaneck, NJ NPI 1215707179
About NPI 1043217300
Phyllis A. Tarallo, DNP, DCC, FNP-C's National Provider Identifier is 1043217300, issued on Jul 1, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Teaneck, NJ. The record was last updated on Feb 3, 2025.