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Individual

DR. ELLEN B. TABOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 10TH AVE, ROOSEVELT HOSPITAL 7-G, NEW YORK, NY 10019-1147
(212) 523-7997
(212) 523-7720
Mailing address
1000 TENTH AVE., ROOSEVELT HOSPITAL 7-G, NEW YORK, NY 10019
(212) 523-7997
(212) 523-7720

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
182246
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02119217
NY
Enumeration date
12/12/2005
Last updated
04/27/2010
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