DR. ALEXIS TOMARKEN


Address: 611 Broadway Rm 520, New York, NY 10012-2652
Phone: (646) 515-4483

DR. ALEXIS TOMARKEN (NPI# 1497270623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497270623
Entity Type Individual
Full Name DR. ALEXIS TOMARKEN
Credential PHD
Practice Address 611 Broadway Rm 520
New York
NY 10012-2652
Practice Telephone (646) 515-4483
Practice Fax Number 2127774606
Mailing Telephone 6465154483
Mailing Fax Number 2127774606
Enumeration Date 2017-08-09
Last Update Date 2017-08-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
019155-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 611 BROADWAY RM 520
City NEW YORK
State NY
Zip Code 10012-2652

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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