Individual
TANVISHA MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 OHIO DR STE 201, NEW HYDE PARK, NY 11042-1111
(516) 390-5760
(516) 390-5765
Mailing address
2 OHIO DR STE 201, NEW HYDE PARK, NY 11042-1111
(516) 390-5760
(516) 390-5765
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
322629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RJK1O
BCBS
FL
Enumeration date
05/24/2016
Last updated
02/02/2024
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