Individual
DR. NEIL TANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
1991 MARCUS AVE, SUITE 102, NEW HYDE PARK, NY 11042-2057
(516) 497-7900
Mailing address
1991 MARCUS AVE, SUITE 102, NEW HYDE PARK, NY 11042-2057
(516) 497-7900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
253652
NY
207Y00000X
Otolaryngology Physician
A107722
CA
208200000X
Plastic Surgery Physician
Primary
253652
NY
208200000X
Plastic Surgery Physician
A107722
CA
Other
Enumeration date
05/21/2008
Last updated
05/12/2014
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