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Organization
TOTAL MEDICINE 365 NY PLLC
Active
Organization
TOTAL MEDICINE 365 NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV TABAK MD (MD AND OWNER)
(347) 575-7180
Entity
Organization
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(347) 575-7180
Mailing address
27 MAGNOLIA LN, ROSLYN HEIGHTS, NY 11577-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2026
Last updated
09/17/2026
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