Provider Demographics
NPI:1689861437
Name:TAMARI, RONI (MD)
Entity Type:Individual
Prefix:
First Name:RONI
Middle Name:
Last Name:TAMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:BOX 451
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-5987
Mailing Address - Fax:646-422-1094
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:BOX 451
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-5987
Practice Address - Fax:646-422-1094
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY246912207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology