Tarkhanov Medical P.c. | |
15 Rome Ave Staten Island NY 10304-4317 | |
(718) 351-6203 | |
(917) 652-0951 |
Full Name | Tarkhanov Medical P.c. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 15 Rome Ave, Staten Island, New York |
Authorized Official Name and Position | Nikolay Tarkhanov (OWNER) |
Authorized Official Contact | 7183516203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tarkhanov Medical P.c. 15 Rome Ave Staten Island NY 10304-4317 Ph: (917) 273-9926 | Tarkhanov Medical P.c. 15 Rome Ave Staten Island NY 10304-4317 Ph: (718) 351-6203 |
NPI Number | 1508308743 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508308743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 243184 (New York) | Primary |
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