Tabakman, Roman Mark

Tabakman, Roman Mark is an sole proprietor health care provider with primary practice located at 8618 18Th Ave , Brooklyn NY 11214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Tabakman, Roman Mark can be contacted via phone (718) 259-2706.

Contact Information

Primary practice address
8618 18Th Ave Brooklyn NY 11214
Fax: (718) 621-9799
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 183984 New York

Profile Details

NPI number 1891775912
LBN Legal business name Tabakman, Roman Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Mar 7th, 2023 - 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 1891775912 NPPES
Other 1839844 WORKERS COMP
MEDICAID 01502276 WORKERS COMP

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