Provider Demographics
NPI:1689069452
Name:NUNEZ, ARIEL TASSY (MD)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:TASSY
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:TASSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4134 CRESCENT ST
Mailing Address - Street 2:APT 3M
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:631-902-7311
Mailing Address - Fax:516-465-5299
Practice Address - Street 1:410 LAKEVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-465-3270
Practice Address - Fax:516-465-5299
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2856852080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine