Provider Demographics
NPI:1821683061
Name:OLGA TARLTON NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity Type:Organization
Organization Name:OLGA TARLTON NURSE PRACTITIONER IN ADULT HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:718-864-5728
Mailing Address - Street 1:5221 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5919
Mailing Address - Country:US
Mailing Address - Phone:718-443-2000
Mailing Address - Fax:718-443-3000
Practice Address - Street 1:5221 FOSTER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5919
Practice Address - Country:US
Practice Address - Phone:718-443-2000
Practice Address - Fax:718-443-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy