Organization
TARKHANOV MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLAY TARKHANOV M.D. (OWNER)
(718) 351-6203
Entity
Organization
Contact information
Practice address
15 ROME AVE, STATEN ISLAND, NY 10304-4317
(718) 351-6203
(917) 652-0951
Mailing address
15 ROME AVE, STATEN ISLAND, NY 10304-4317
(917) 273-9926
(917) 652-0951
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
243184
NY
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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