Tamar Izcovich is a Clinic/Center based in New York, NY. Tamar Izcovich practices in New York, NY. The NPI Number for Tamar Izcovich is 1285272716 and holds a License No. (New York).
The current practice location address for Tamar Izcovich is 19 W 34Th St Ph, New York, NY and can be reached out via phone at 516-784-7876.
Location: 19 W 34Th St Ph, New York, NY, 10029-4618
Provider Profile Details
NPI Number
1285272716
Provider Name
Tamar Izcovich
Credential
Provider Entity Type
Organization
Address
19 W 34Th St Ph, New York, NY, 10029-4618
Phone Number
516-784-7876
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | 01 | CIGNA |
Provider Business Practice Location Address Details
Address
19 W 34Th St Ph
City
State
Zip
10001-3006
Phone Number
516-784-7876
Fax Number
Provider Business Mailing Address Details
Address
19 W 34Th St Ph
City
State
Zip
10001-3006
Phone Number
516-784-7876
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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