Individual provider · Type 1 NPI

Tareq Coburn, PA-C

Physician Assistant · Bronx, NY

NPI number 1487485660 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2594

Call (718) 960-9000 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X032526 (NY)
Surgical Physician Assistant 363AS0400X032526 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487485660

Tareq Coburn, PA-C's National Provider Identifier is 1487485660, issued on Aug 9, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 27, 2026.