Healthcare Provider Details

I. General information

NPI: 1497905889
Provider Name (Legal Business Name): DANA TARCATU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E 42ND ST FL 7
NEW YORK NY
10017-5806
US

IV. Provider business mailing address

220 E 42ND ST FL 7
NEW YORK NY
10017-5806
US

V. Phone/Fax

Practice location:
  • Phone: 212-609-1920
  • Fax: 212-290-0158
Mailing address:
  • Phone: 212-609-1920
  • Fax: 212-290-0158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number70981
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA109446
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number250110
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: