MEDICARE: MISS FAHMINA TANNI DO

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RH0003X	Hematology & Oncology Physician	329985	NY

General Provider Information

NPI Number	:	1396241329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS FAHMINA TANNI DO

Provider Business Mailing Address
First Line	:	2601 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	844-692-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	CONEY ISLAND HOSPITAL
Second Line	:	2601 OCEAN PARKWAY
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-616-3000
Fax Number	:

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

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	02/02/2026

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