Individual
DR. ROMAN MARK TABAKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8618 18TH AVE, BROOKLYN, NY 11214
(718) 259-2706
(718) 621-9799
Mailing address
1711 SHEEPSHEAD BAY RD, BROOKLYN, NY 11235-3651
(718) 332-8002
(718) 332-8006
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
183984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502276
—
NY
01
—
1839844
WORKERS COMP
—
Enumeration date
01/17/2006
Last updated
03/07/2023
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