Individual
DR. GAURAV TYAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6626
Mailing address
3411 WAYNE AVE FL 6, BRONX, NY 10467-2552
(718) 920-6626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287309
NY
Other
Enumeration date
08/16/2013
Last updated
07/13/2020
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