Provider Demographics
NPI:1497912729
Name:TARLETON, ANDREW ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ANTHONY
Last Name:TARLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:45 CROSSWAYS PARK DR W
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2037
Mailing Address - Country:US
Mailing Address - Phone:516-422-8080
Mailing Address - Fax:516-422-8085
Practice Address - Street 1:45 CROSSWAYS PARK DR W
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2037
Practice Address - Country:US
Practice Address - Phone:516-422-8080
Practice Address - Fax:516-422-8085
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274856174400000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No174400000XOther Service ProvidersSpecialist