MEDICARE: MARIA TAMAY DDS

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	122300000X	Dentist	064114	NY

General Provider Information

NPI Number	:	1528756079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA TAMAY DDS

Provider Business Mailing Address
First Line	:	2444 82ND ST
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11370-1627
Country	:	US
Telephone Number	:	917-396-6845
Fax Number	:

Provider Business Practice Location Address
First Line	:	7811 35TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-2565
Country	:	US
Telephone Number	:	718-899-3840
Fax Number	:

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

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	11/04/2024

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