MEDICARE: YVETTE TANHEHCO M.D.

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	MT192723	PA
2	207ZP0101X	Anatomic Pathology Physician	264348	NY
3	207ZB0001X	Blood Banking & Transfusion Medicine Physician	264348	NY

General Provider Information

NPI Number	:	1093977399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE TANHEHCO M.D.

Provider Business Mailing Address
First Line	:	630 WEST 168TH ST
Second Line	:	PH 1564W
City	:	NY
State	:	NY
Zip	:	10032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 WEST 168TH ST
Second Line	:	PH 1564W
City	:	NY
State	:	NY
Zip	:	10032
Country	:	US
Telephone Number	:	212-305-7399
Fax Number	:

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

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	09/16/2014

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Directions to “ YVETTE TANHEHCO M.D.” Practice Location

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