Taback, Bret
Taback, Bret is an sole proprietor health care provider with primary practice located at 161 Fort Washington Ave Fl 10 , New York NY 10032-3729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Taback, Bret can be contacted via phone (212) 305-9676.Contact Information
Primary practice address
161 Fort Washington Ave Fl 10
New York NY 10032-3729
Phone: (212) 305-9676
Fax: (212) 305-1522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 237470 | New York |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 237470 | New York |
Profile Details
| NPI number | 1659455483 |
|---|---|
| LBN Legal business name | Taback, Bret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 24th, 2018 - about 8 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 | 1659455483 | NPPES |
| New York | MEDICAID | 2701182 |
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