Organization
FERNANDO TAVERAS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO T TAVERAS MD (PSYCHIATRY)
(212) 928-3900
Entity
Organization
Contact information
Practice address
629 W 185TH ST, SUITE 3, NEW YORK, NY 10033
(212) 928-3900
(212) 740-1731
Mailing address
629 W 185TH ST STE 301, NEW YORK, NY 10033-3102
(212) 543-3500
(877) 673-0925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
213401-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000213401-01
COMMUNITY PREMIER PLUS ID
NY
05
—
01978243
—
NY
05
—
03331968
—
NY
01
—
1076790
AFFINITY HEALTH ID
NY
01
—
213401-01
MEDICAL LICENSE NUMBER
NY
01
—
213401-A26
HEALTH FIRST PROVIDER ID
NY
01
—
21340101
NEIGHBORHOOD PROVIDER ID
NY
01
—
98P5411
NY PRESBYTARIAN HEALTH ID
NY
01
—
N376961
WELLCARE PROVIDER ID
NY
Enumeration date
06/29/2007
Last updated
02/13/2026
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