Tavares, Rosaanabela Renaud
Tavares, Rosaanabela Renaud is an individual health care provider with primary practice located at 682 Union Ave , Westbury NY 11590-3552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tavares, Rosaanabela Renaud can be contacted via phone (516) 571-9500.Contact Information
Primary practice address
682 Union Ave
Westbury NY 11590-3552
Phone: (516) 571-9500
Fax: (516) 571-9557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 229357 | New York |
Profile Details
| NPI number | 1649235516 |
|---|---|
| LBN Legal business name | Tavares, Rosaanabela Renaud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Oct 31st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649235516 | NPPES |
| New York | MEDICAID | 02733168 | |
| New York | Other | A400221010 |
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