Organization · Type 2 NPI
Tarkhanov Medical P.c.
Primary Care Clinic/Center · Staten Island, NY
NPI number
1508308743
Active
Practice location
15 Rome Ave
Staten Island, NY 10304-4317
Fax (917) 652-0951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 243184 (NY) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1508308743
Tarkhanov Medical P.c.'s National Provider Identifier is 1508308743, issued on Nov 4, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Staten Island, NY. The record was last updated on Nov 4, 2016.