Individual
TANYA M MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
292 LONG RIDGE RD STE 103, STAMFORD, CT 06902-1627
(203) 348-9455
(203) 348-9183
Mailing address
292 LONG RIDGE RD STE 103, STAMFORD, CT 06902-1627
(203) 348-9455
(203) 348-9183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
211428
NY
207R00000X
Internal Medicine Physician
Primary
69122
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094613
—
NY
Enumeration date
10/27/2005
Last updated
10/12/2021
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