Individual
JUSTIN TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1412925
NY
Other
Enumeration date
05/20/2017
Last updated
04/07/2022
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