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NPI Code Detail

MEDICARE: NEW YOU TENNESSEE PLLC

MEDICARE: NEW YOU TENNESSEE PLLC
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1710660824
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YOU TENNESSEE PLLC
Provider Business Mailing Address
First Line : 125 MINEOLA AVE STE 200
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2042
Country : US
Telephone Number : 516-616-5500
Fax Number :
Provider Business Practice Location Address
First Line : 300 20TH AVE N STE 301
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2173
Country : US
Telephone Number : 516-616-5500
Fax Number :
Authorized Official
Title or Position : MD
Name : SHAWN GARBER
Credential : MD
Telephone Number : 516-616-5500
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “NEW YOU TENNESSEE PLLC ” Practice Location

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