MEDICARE: DR. TINA VINAY DOSHI D.O.

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	207Q00000X	Family Medicine Physician	271576	NY

General Provider Information

NPI Number	:	1700146735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TINA VINAY DOSHI D.O.

Provider Business Mailing Address
First Line	:	1345 RXR PLZ FL 13
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11556-1301
Country	:	US
Telephone Number	:	516-783-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 BARTOW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-4629
Country	:	US
Telephone Number	:	646-346-7927
Fax Number	:

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

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	01/10/2019

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