Organization
JOSEPH TAVERNI M.D. P.C.
Active
Other names
JMS Sports Medicine & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PATRICK TAVERNI M.D. (PRESIDENT/PHYSICIAN)
(516) 482-7747
Entity
Organization
Contact information
Practice address
1000 NORTHERN BLVD, SUITE 360, GREAT NECK, NY 11021-5312
(516) 482-7747
(516) 482-7748
Mailing address
1000 NORTHERN BLVD, SUITE 360, GREAT NECK, NY 11021-5312
(516) 482-7747
(516) 482-7748
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
201665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W39341
MEDICARE ID - GROUP ID
NY
Enumeration date
03/13/2008
Last updated
03/13/2008
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