DR. Vito Frank Taverna, M.D.

NPI #1912052994 in Ridgewood, New York

Provider Information

NPI Number: 1912052994
Entity Type: Individual
Name: DR. Vito Frank Taverna, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 23, 2007
Last Updated: Jan 19, 2016

Practice Location

Address: 6062 PALMETTO ST
City: Ridgewood
State: New York
ZIP Code: 11385-3241
Phone: (718) 821-4443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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