Individual
BRIJESH KUMAR TANTUWAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 NEW SCOTLAND RD STE 203, SLINGERLANDS, NY 12159-9222
(518) 478-9423
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
242101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02869487
—
NY
Enumeration date
02/23/2007
Last updated
03/11/2025
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