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Contact Information

TANYA PERKINS MWANTUALI, MD
1255 CULVER AVE
UTICA, NY13501
 Phone: 315-738-7186
 Fax: 315-738-0188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TANYA PERKINS MWANTUALI · (Female)

NPI # 1740243492
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 11/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 215859
  • NY Medicaid 02048988
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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