TAVERAS MD, PC
Osteopathic Medicine at 179 St, New York, NY

License number
New York 226618
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: FERNADO T TAVERAS MD
Title: PRESIDENT
Phone: (212) 568-1838
Address
Address
659 W 179Th St, New York, NY 10033
National Provider ID: 1609993542
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TAVERAS MD, PC at bizstanding.com

TAVERAS M.D. PC

629 W 185 St, New York, NY 10033

Status:
Inactive
Doing business as:
TAVERAS & NUNEZ M.D. PC
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Nov 2, 2005
Inactive since:
Oct 26, 2011
State ID:
3276546
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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