MEDICARE: DR. VERONICA GABRIELA TAPIA 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	2084P0800X	Psychiatry Physician	286683	NY
2	2084P0804X	Child & Adolescent Psychiatry Physician	286683	NY

General Provider Information

NPI Number	:	1528403730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERONICA GABRIELA TAPIA M.D.

Provider Business Mailing Address
First Line	:	1 PUTNAM HALL
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PUTNAM HALL
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-1106
Country	:	US
Telephone Number	:	631-632-2428
Fax Number	:	631-632-4448

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

Provider Enumeration Date	:	05/01/2013
Last Update Date	:	04/01/2022

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