Talia Bardash
Talia Bardash is a Physician Assistant in New Square, New York. Licensed in New Jersey and New York. Registered with an NPI since 2022.
- Licensed in
- NJ, NY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
728 N Main StNew Square, NY 10977-8916
Phone: (845) 354-9300
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 028280 (NY) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 25MP00701000 (NJ) |
Record details
| NPI number | 1861136145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 23, 2022 |
| Last updated in NPPES | April 23, 2022 |
| Certification date | April 23, 2022 |
| Mailing address | 786 Washburn St, Teaneck, NJ 07666-2243 |
Other providers in New Square
-
Jennifer Grunhut
728 N Main St, New Square, NY 10977-8916 · (845) 354-9300