Individual ProviderGary Lawrence TalliniNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637(914) 592-7555PECOS EnrollmentBased on the most recent information from CMS, provider Gary Lawrence Tallini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1881811925Provider TypeIndividualFull NameTallini, Gary LawrenceTitleMr.CredentialFNPGenderMaleSole ProprietorNoEnumeration Date4/19/2007Last Updated9/9/2010Contact InformationPractice LocationPractice Address95 Bradhurst Ave, Valhalla, NY 10595-1637Phone(914) 592-7555Fax(914) 831-1291Mailing LocationMailing Address95 Bradhurst Ave, Pediatric Department, Valhalla, NY 10595-1637Phone(914) 592-7555Fax(914) 831-1291Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense331551New York