Organization
TAREK MARDAM BEY MD PC
Active
Organization
TAREK MARDAM BEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK H MARDAM BEY MD (PHYSICIAN OWNER)
(212) 663-8600
Entity
Organization
Contact information
Practice address
1090 AMSTERDAM AVENUE, SUITE 6E, NEW YORK, NY 10025
(212) 663-8600
(212) 663-8602
Mailing address
1090 AMSTERDAM AVENUE, SUITE 6E, NEW YORK, NY 10025
(212) 663-8600
(212) 663-8602
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1265861
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
1265861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00306189
—
NY
01
—
33879
EMPIRE BCBS NEW YORK
NY
Enumeration date
01/09/2007
Last updated
09/25/2007
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