Provider Demographics
NPI:1326239567
Name:MICHAEL H. TARLOWE, M.D., P.C.
Entity Type:Organization
Organization Name:MICHAEL H. TARLOWE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:TARLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-997-9600
Mailing Address - Street 1:12 GREENRIDGE AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1238
Mailing Address - Country:US
Mailing Address - Phone:914-997-9600
Mailing Address - Fax:914-997-9601
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-997-9600
Practice Address - Fax:914-997-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235531208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty