Provider Demographics
NPI:1073714739
Name:TAUBES, TANAQUIL (MD)
Entity Type:Individual
Prefix:DR
First Name:TANAQUIL
Middle Name:
Last Name:TAUBES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 W 72ND ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2675
Mailing Address - Country:US
Mailing Address - Phone:212-787-8775
Mailing Address - Fax:212-799-8820
Practice Address - Street 1:310 W 72ND ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2675
Practice Address - Country:US
Practice Address - Phone:212-787-8775
Practice Address - Fax:212-799-8820
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1926272084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine