Taverni, Joseph Patrick

Taverni, Joseph Patrick is an sole proprietor health care provider with primary practice located at 1000 Northern Blvd Suite 360, Great Neck NY 11021-5312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Taverni, Joseph Patrick can be contacted via phone (516) 482-7747.

Contact Information

Primary practice address
1000 Northern Blvd Suite 360 Great Neck NY 11021-5312
Phone: (516) 482-7747
Fax: (516) 482-7748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 201665 New York

Profile Details

NPI number 1245363415
LBN Legal business name Taverni, Joseph Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jun 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245363415 NPPES
New York MEDICAID 01990183

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