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Contact Information

TANIA REVOLUS, MD
2201 HEMPSTEAD TURNPIKE
EAST MEADOW, NY11554
 Phone: 516-572-6255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TANIA REVOLUS · (Female)

NPI Number 1194009340
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2011
Last updated 08/13/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 279585
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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