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DR. JEFFREY GERARD TAVARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
109 PROSPECT PARK WEST, BROOKLYN, NY 11215-3711
(718) 499-5791
(718) 499-5791
Mailing address
109 PROSPECT PARK WEST, BROOKLYN, NY 11215-3711
(718) 499-5791
(718) 499-5791

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1837261
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1837261
NY

Other

Enumeration date
07/17/2006
Last updated
09/11/2025
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