Organization
AHAVA MEDICAL CARE P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA TARASCIN DO (OWNER)
(516) 616-8629
Entity
Organization
Contact information
Practice address
1659 RALPH AVE, BROOKLYN, NY 11236-3381
(718) 255-9955
Mailing address
1659 RALPH AVE, BROOKLYN, NY 11236-3381
(718) 255-9955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
11/17/2025
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