DANIEL W TARALLO
Physician Assistant at Wilson Rd, Sparrowbush, NY

License number
Florida 9105933
Issued Date
Mar 10, 2011
Effective Date
Feb 18, 2016
Expiration Date
Jan 31, 2014
Category
Health Care
Type
Physician Assistant
Address
Address 2
52 Wilson Rd, Sparrowbush, NY 12780
Hwy 20 W, Palatka, FL 32177
Phone
(845) 856-0390
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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DANIEL W. TARALLO PHYSICIAN ASSISTANT PLLC

52 Wilson Rd, Sparrow Bush, NY 12780

Registration:
Dec 21, 2012
State ID:
4336445
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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