Individual
PETER TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 933-2191
Mailing address
2330 HOFFMAN ST APT 2C, BRONX, NY 10458-8073
(585) 465-1966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
298189
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
08/17/2019
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