Doctor Name: | DR. TANAQUIL TAUBES |
NPI Number: | 1073714739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 192627 |
Business Practice Address: | 310 W 72nd St Suite 1d New York, NY - 100232675 |
Business Phone Number: | 2127878775 |
Business Fax Number: | 2127998820 |
Mailing Address: | 310 W 72nd St, Suite 1d NEW YORK |
State: | NY |
Postal Code: | 100232675 |
Phone Number: | 2127878775 |
Fax Number: | 2127998820 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 192627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |