Individual
RAFAEL TABARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
930 E TREMONT AVE, BRONX, NY 10460-4363
(718) 764-1633
(646) 224-1320
Mailing address
930 E TREMONT AVE, BRONX, NY 10460-4363
(718) 764-1633
(646) 224-1320
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02534123
—
NY
01
—
N005686
STATE LICENSE NUMBER
NY
Enumeration date
06/07/2006
Last updated
03/07/2023
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