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NPI Code Detail

MEDICARE: ARTUR TANGIYEV

MEDICARE:   ARTUR  TANGIYEV
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
1171W00000XContractor4612423NY

General Provider Information

NPI Number : 1326444274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTUR TANGIYEV
Provider Business Mailing Address
First Line : 315 W BROADWAY
Second Line : SUITE 3N
City : LONG BEACH
State : NY
Zip : 11561-3940
Country : US
Telephone Number : 917-862-5969
Fax Number :
Provider Business Practice Location Address
First Line : 315 W BROADWAY
Second Line : SUITE 3N
City : LONG BEACH
State : NY
Zip : 11561-3940
Country : US
Telephone Number : 917-862-5969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2014
Last Update Date : 11/05/2014

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Directions to “ ARTUR TANGIYEV ” Practice Location

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