MEDICARE: TAAMEIR DREW

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	174400000X	Specialist

General Provider Information

NPI Number	:	1427521228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAAMEIR DREW

Provider Business Mailing Address
First Line	:	329 E 149TH ST FL 4
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 E 128TH ST APT 6G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-1332
Country	:	US
Telephone Number	:	917-584-5243
Fax Number	:

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

Provider Enumeration Date	:	01/04/2019
Last Update Date	:	01/04/2019

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Directions to “ TAAMEIR DREW ” Practice Location

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