Individual
DR. MARVIN BRIAN TANKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
266 MERRICK RD, SUITE 201, LYNBROOK, NY 11563-2640
(516) 599-4242
(516) 599-4449
Mailing address
266 MERRICK RD, SUITE 201, LYNBROOK, NY 11563-2640
(516) 599-4242
(516) 599-4449
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
146498-1
NY
207NS0135X
Procedural Dermatology Physician
146498-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00919140
—
NY
Enumeration date
07/18/2005
Last updated
08/27/2013
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