Provider Demographics
NPI:1326345026
Name:TNTT INC,
Entity Type:Organization
Organization Name:TNTT INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YEHUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAR-ZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-275-5512
Mailing Address - Street 1:11406 QUEENS BLVD
Mailing Address - Street 2:1G
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7001
Mailing Address - Country:US
Mailing Address - Phone:715-275-5512
Mailing Address - Fax:718-275-5509
Practice Address - Street 1:17625 UNION TPKE
Practice Address - Street 2:418
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1515
Practice Address - Country:US
Practice Address - Phone:718-591-1122
Practice Address - Fax:718-275-5509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYYB019711220Medicaid
NYH06630Medicare UPIN