Provider Demographics
NPI:1285661512
Name:MAYS, TANYA D (M D)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:D
Last Name:MAYS
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2626
Mailing Address - Country:US
Mailing Address - Phone:518-567-7045
Mailing Address - Fax:
Practice Address - Street 1:968 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2626
Practice Address - Country:US
Practice Address - Phone:518-567-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY21888207V00000X
NY218888207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02250888Medicaid
NY02250888Medicaid
NY75N251Medicare ID - Type UnspecifiedEMPIRE