Search › New York › 207RG0100X
Kevin Tack, M.D
NPI 1871599605 · on the registry since 2005
Practice
- Address
- 1615 Northern Blvd
Manhasset, NY 11030 - Phone
- (516) 627-3717
- Fax
- (516) 869-8625
- Organisation at this address
- Klm Optical, Inc
Raymond L. Soletic
Keith A Siller Md Pc
Harvest Acupuncture P.C.
Long Island Dermatology PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York