Provider Demographics
NPI:1053550426
Name:TALLMAN OB/GYN,PC
Entity type:Organization
Organization Name:TALLMAN OB/GYN,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:Z
Authorized Official - Last Name:BAREKET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-357-5333
Mailing Address - Street 1:134 ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4917
Mailing Address - Country:US
Mailing Address - Phone:845-357-5333
Mailing Address - Fax:845-357-2347
Practice Address - Street 1:134 ROUTE 59
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4917
Practice Address - Country:US
Practice Address - Phone:845-357-5333
Practice Address - Fax:845-357-2347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty