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Individual

LENA TABOR-FURMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 342-5155
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD038389
DC
207RH0000X
Hematology (Internal Medicine) Physician
Primary
267046
NY
207RX0202X
Medical Oncology Physician
267046
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
267046
NYS MEDICAL LICENCE
NY
Enumeration date
07/21/2008
Last updated
08/12/2016
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