Provider Demographics
NPI:1285650655
Name:TALUS, HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:TALUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451, CLARKSON AV.,
Mailing Address - Street 2:DEPT. OF SURGERY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-245-4145
Mailing Address - Fax:718-245-3011
Practice Address - Street 1:451, CLARKSON AV.,
Practice Address - Street 2:DEPT. OF SURGERY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-245-4145
Practice Address - Fax:718-245-3011
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245342208600000X, 208C00000X
NJ25MA08123400208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY245342OtherLICENSE
NJ25MA08123400OtherMEDICAL LICENSE