MEDICARE: ASHLEY TABI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	296260	NY

General Provider Information

NPI Number	:	1285013326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY TABI

Provider Business Mailing Address
First Line	:	1767 CENTRAL PARK AVE STE 426
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-2828
Country	:	US
Telephone Number	:	347-768-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 BARTOW AVE SPC 280E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4629
Country	:	US
Telephone Number	:	347-768-7675
Fax Number	:	330-884-3234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2015
Last Update Date	:	01/10/2024

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Directions to “ ASHLEY TABI ” Practice Location

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