Individual
DR. ZACHARY EDWARD TANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 SOUTH AVE, STATEN ISLAND, NY 10314-3779
(718) 226-6461
Mailing address
1441 SOUTH AVE, STATEN ISLAND, NY 10314-3779
(718) 226-6461
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
177286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-3971298
—
NY
Enumeration date
06/10/2013
Last updated
09/25/2024
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