Individual
DR. EDWIN TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7390
Mailing address
66 POWERHOUSE RD, 3RD FLOOR, ROSLYN HEIGHTS, NY 11577-1324
(516) 626-6366
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
197410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587433
—
NY
Enumeration date
07/05/2005
Last updated
07/08/2007
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