Provider Demographics
NPI:1073800074
Name:TARTAS, IRENE MARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:MARIE
Last Name:TARTAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LARKIN CTR
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-7044
Mailing Address - Country:US
Mailing Address - Phone:914-376-8226
Mailing Address - Fax:914-376-8190
Practice Address - Street 1:1 LARKIN CTR
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-7044
Practice Address - Country:US
Practice Address - Phone:914-376-8226
Practice Address - Fax:914-376-8190
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330998-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily