Individual
INNA TUBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
78 CROMWELL AVE, STATEN ISLAND, NY 10304-3912
(718) 987-9175
Mailing address
100 JOLINE AVENUE, STATEN ISLAND, NY 10307
(718) 967-4567
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
240622
NY
Other
Enumeration date
12/12/2006
Last updated
06/02/2014
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