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RICHARD J TABERSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
375 EAST MAIN STREET, SUITE 1, BAYSHORE, NY 11706
(631) 665-8790
(631) 665-1581
Mailing address
375 EAST MAIN STREET, SUITE 1, BAYSHORE, NY 11706
(631) 665-8790
(631) 665-1581

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
148855
NY

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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