Provider Demographics
NPI:1215913942
Name:DEMPSEY, TANIA TYLES (MD)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:TYLES
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:941-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6511
Practice Address - Fax:941-682-6403
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208499207R00000X
CT043273207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01995293Medicaid
NY133884168OtherBEECH STREET
NY133884168OtherPOMCO
NY133884168OtherPHCS
NY1949713OtherUNITED HEALTH CARE
NY4728999OtherCIGNA (PCP)
NY133884168OtherMULTIPLAN
NY000000076940OtherGHI HMO
NY133884168OtherHORIZON HEALTHCARE OF NY
NY194AJ1OtherBLUE CROSS
NYWP0650OtherHEALTH NET
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY7834525OtherAETNA NON HMO
NY133884168OtherHIP
NY3443594OtherAETNA HMO
NYP3041389OtherOXFORD
NY2591987OtherGHI PPO
NYG93261Medicare UPIN
NY133884168OtherHORIZON HEALTHCARE OF NY
CT110009718Medicare ID - Type Unspecified