Healthcare Provider Details

I. General information

NPI: 1992802847
Provider Name (Legal Business Name): JANE TUVIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/02/2024
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 37TH ST SUITE 305
NEW YORK NY
10016-3256
US

IV. Provider business mailing address

8514 JULIAN ALPS LN
BOYNTON BEACH FL
33473-4001
US

V. Phone/Fax

Practice location:
  • Phone: 212-490-3930
  • Fax: 212-490-3933
Mailing address:
  • Phone: 516-380-6609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberME164427
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number186027
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: