Dr. Igor A. Talis, D.O.
Family Medicine in Far Rockaway, NY. Individual provider (NPI-1).
NPI number1457561920
StatusActive
Last updated in NPPESJun 5, 2009
Details
- NPI
- 1457561920
- Entity type
- Individual (NPI-1)
- Name
- Dr. Igor A. Talis
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Last updated
- Jun 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 253007 | NY | Yes |
Practice location
5115 Beach Channel DrPmc
Far Rockaway, NY 11691-1042
Phone 718-734-3027
Mailing address
2728 Kings Hwy Apt F11Brooklyn, NY 11229-1780
Phone 917-902-0933
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All 31 Family Medicine Physician providers in Far Rockaway · All 2,045 providers in Far Rockaway
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