MEDICARE: DR. TAMER ELBAZ 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	231996	NY

General Provider Information

NPI Number	:	1366479198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMER ELBAZ M.D.

Provider Business Mailing Address
First Line	:	780 8TH AVE
Second Line	:	SUITE 201
City	:	NEW YORK
State	:	NY
Zip	:	10036-7000
Country	:	US
Telephone Number	:	212-757-0222
Fax Number	:	212-757-0223

Provider Business Practice Location Address
First Line	:	780 8TH AVE
Second Line	:	SUITE 2A
City	:	NEW YORK
State	:	NY
Zip	:	10036-7000
Country	:	US
Telephone Number	:	212-757-0222
Fax Number	:	212-757-0223

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	08/15/2013

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