Carl Tack MD

NPI 1023189529 - Radiology - 2085R0202X

NPI Details
NPI 1023189529
Gender Male
Enumeration Date 11/13/2006
Last Updated 02/13/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
HSC L4 RM 120
STONY BROOK NY, 11794-8460, US
Phone (631) 444-5400
Fax (631) 444-7538
Business Location
HSC LEVEL 4, ROOM 120
STONY BROOK NY, 11794-8460, US
Phone (631) 444-5400
Fax (631) 444-7538
Toxanomy
Taxonomy Code 2085R0202X
License State New York
License Number 157604
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According to our database, Carl Tack MD NPI is 1023189529, taxonomy code is 2085R0202X and license number is 157604, license state is located at New York. Carl Tack MD physically located at Hsc L4 Rm 120, Stony Brook NY, 11794-8460. NPI Number Carl Tack MD has the Individual type.

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1023189529 NPI number is provided on an as is basis without warranty of any kind. 1023189529 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Tack MD are for informational purposes only.