Healthcare Provider Details
I. General information
NPI: 1326345026
Provider Name (Legal Business Name): TNTT INC,
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2011
Last Update Date: 02/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17625 UNION TPKE 418
FRESH MEADOWS NY
11366-1515
US
IV. Provider business mailing address
11406 QUEENS BLVD 1G
FOREST HILLS NY
11375-7001
US
V. Phone/Fax
- Phone: 718-591-1122
- Fax: 718-275-5509
- Phone: 715-275-5512
- Fax: 718-275-5509
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YEHUDA
BAR-ZVI
Title or Position: CEO
Credential: M.D.
Phone: 718-275-5512