National Provider Identifier Database

KEVIN L TACK, MD – NPI #1871599605
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

KEVIN L TACK, MD
1615 NORTHERN BLVD
MANHASSET, NY11030-3033
Phone: 516-627-3717
Fax: 516-869-8625
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for KEVIN L TACK

NPI Number 1871599605
Credentials MD
Entity Individual
Enumeration date 06/27/2005
Last updated 12/04/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 180244
Hospital affiliation n/a

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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