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NPI Code Detail

MEDICARE: MS. TANIA MONIQUE MARSHALL M.SC.

MEDICARE:  MS. TANIA MONIQUE MARSHALL  M.SC.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1912551938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TANIA MONIQUE MARSHALL M.SC.
Provider Business Mailing Address
First Line : 340 GARDEN AVE
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10553-2014
Country : US
Telephone Number : 646-271-7824
Fax Number :
Provider Business Practice Location Address
First Line : 340 GARDEN AVE
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10553-2014
Country : US
Telephone Number : 646-271-7824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2019
Last Update Date : 07/29/2019

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Directions to “ MS. TANIA MONIQUE MARSHALL M.SC.” Practice Location

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