Provider Demographics
NPI:1659744886
Name:TAMAR MAGNAS, M.D. PC
Entity Type:Organization
Organization Name:TAMAR MAGNAS, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMAR
Authorized Official - Middle Name:ELANA
Authorized Official - Last Name:MAGNAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-796-6476
Mailing Address - Street 1:11 E 86TH ST
Mailing Address - Street 2:STE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0501
Mailing Address - Country:US
Mailing Address - Phone:917-796-6476
Mailing Address - Fax:
Practice Address - Street 1:11 E 86TH ST
Practice Address - Street 2:STE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0501
Practice Address - Country:US
Practice Address - Phone:917-796-6476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty