Individual
DR. TANYA POWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
65 ROSE AVE, STATEN ISLAND, NY 10306-2246
(718) 226-6344
(718) 226-0408
Mailing address
1 EDGEWATER STREET, SUITE 723, STATEN ISLAND, NY 10305
(718) 226-1047
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01122912
—
NY
01
—
P00752737
RAIL ROAD MEDICARE
NY
Enumeration date
07/07/2006
Last updated
11/03/2009
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