# AHAVA MEDICAL CARE P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376411249
- **Authorized official:** ILYA TARASCIN DO (OWNER)
- **Authorized official phone:** (516) 616-8629

## Contact information

- **Practice address:** 1659 RALPH AVE, BROOKLYN, NY 11236-3381
- **Practice address phone:** (718) 255-9955
- **Mailing address:** 1659 RALPH AVE, BROOKLYN, NY 11236-3381
- **Mailing address phone:** (718) 255-9955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2025
- **Last updated:** 11/17/2025