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NPI Code Detail

MEDICARE: NIR TOMER MD

MEDICARE: NIR TOMER MD
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
1208800000XUrology Physician036178319IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780279372
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIR TOMER MD
Provider Business Mailing Address
First Line : 1 GUSTAVE L LEVY PL
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 GUSTAVE L LEVY PL
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6504
Country : US
Telephone Number : 212-241-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2021
Last Update Date : 06/12/2026

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Directions to “ NIR TOMER MD” Practice Location

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