| Marc Tarle M.d, Pc | |
|
20 Squadron Blvd #560 New City NY 10956 | |
| (845) 639-9650 | |
| (845) 639-0727 |
| Full Name | Marc Tarle M.d, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 Squadron Blvd, New City, New York |
| Authorized Official Name and Position | Marc E Tarle (PSYCHIATRIST) |
| Authorized Official Contact | 8456399650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Tarle M.d, Pc 20 Squadron Blvd #560 New City NY 10956 Ph: (845) 639-9650 | Marc Tarle M.d, Pc 20 Squadron Blvd #560 New City NY 10956 Ph: (845) 639-9650 |
| NPI Number | 1245452622 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769407311 |
|---|---|
| Medicare Enrollment ID | O20051012000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245452622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 141348 (New York) | Primary |
| Provider Name | Marc Tarle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992834683 PECOS PAC ID: 0143202473 Enrollment ID: I20040602000290 |
| Provider Name | Ellen Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326114992 PECOS PAC ID: 2961486907 Enrollment ID: I20040616000923 |
| Provider Name | Margaret K Okeeffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235292947 PECOS PAC ID: 9335246164 Enrollment ID: I20070514000048 |
| Provider Name | Jamie K Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611023 PECOS PAC ID: 7416292495 Enrollment ID: I20181219001789 |
| Provider Name | Margaret Bocage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922631662 PECOS PAC ID: 1254759418 Enrollment ID: I20210301002201 |
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