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NPI Code Detail

MEDICARE: RAFAEL TABARI DPM

MEDICARE: RAFAEL TABARI DPM
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
1213ES0131XFoot Surgery PodiatristN005686NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N005686OTHERNYSTATE LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225078553
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL TABARI DPM
Provider Business Mailing Address
First Line : 930 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4363
Country : US
Telephone Number : 718-764-1633
Fax Number : 646-224-1320
Provider Business Practice Location Address
First Line : 930 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4363
Country : US
Telephone Number : 718-764-1633
Fax Number : 646-224-1320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/07/2023

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