Individual
DARCY VINCENT TABOTABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
264 W 118TH ST, NEW YORK, NY 10026-1620
(423) 298-5688
Mailing address
264 W 118TH ST, NEW YORK, NY 10026-1620
(844) 692-4692
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331290
NY
Other
Enumeration date
03/23/2021
Last updated
09/23/2024
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