Organization
TIGA PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOSAN ORUWARIYE M.D. (OWNER)
(718) 881-8999
Entity
Organization
Contact information
Practice address
3510 BAINBRIDGE AVE, S5, BRONX, NY 10467-1409
(718) 881-8999
(718) 881-1984
Mailing address
PO BOX 672170, BRONX, NY 10467-0803
(718) 881-8999
(718) 881-1984
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
209367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810333
—
NY
01
—
209367
NYS LICENSE
NY
Enumeration date
04/16/2013
Last updated
09/19/2013
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