Individual
RYAN TABTABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CLARKSON AVE DEPT OF, BROOKLYN, NY 11203-2012
(718) 270-1638
Mailing address
450 CLARKSON AVENUE, SUNY DOWNSTATE, DEPARTMENT OF OTOLARYNGOLOGY, BROOKLYN, NY 11203-2012
(718) 270-1638
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
321811-01
NY
Other
Enumeration date
05/17/2017
Last updated
12/27/2023
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