MEDICARE: INNA TOVBINA 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	173000000X	Legal Medicine	215222	NY
2	207R00000X	Internal Medicine Physician	215222	NY

General Provider Information

NPI Number	:	1386722775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INNA TOVBINA M.D.

Provider Business Mailing Address
First Line	:	3849 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2012
Country	:	US
Telephone Number	:	718-368-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3849 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2012
Country	:	US
Telephone Number	:	718-368-9555
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/11/2025

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