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Contact Information

TANASHA SIMELA, DO
1065 SOUTHERN BOULEVARD
MEDICAL AFFAIRS
BRONX, NY10459
 Phone: 718-589-2440
 Fax: 718-991-4516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for TANASHA SIMELA · (Female)

NPI Number 1538321997
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/26/2008
Last updated 03/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB10158200
  • NY License # 290569
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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