Provider Demographics
NPI:1346224672
Name:TAMARI, KATRIN
Entity Type:Individual
Prefix:DR
First Name:KATRIN
Middle Name:
Last Name:TAMARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BOND ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2002
Mailing Address - Country:US
Mailing Address - Phone:516-330-2661
Mailing Address - Fax:516-498-9700
Practice Address - Street 1:15 BOND ST
Practice Address - Street 2:SUITE203
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2002
Practice Address - Country:US
Practice Address - Phone:516-330-2661
Practice Address - Fax:516-498-9700
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0467301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice