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Individual

DR. MARINA TAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7074
Mailing address
3052 BRIGHTON 1ST ST, APT 5D, BROOKLYN, NY 11235-8088
(917) 583-5454

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208822
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208822
NY
Enumeration date
03/19/2007
Last updated
01/14/2016
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