Provider Demographics
NPI:1962265553
Name:PAZ, TAL (MD)
Entity type:Individual
Prefix:DR
First Name:TAL
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TAL
Other - Middle Name:
Other - Last Name:TZITERSHPILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:TEMPLARS AVE. 56
Mailing Address - Street 2:
Mailing Address - City:BEIT LEHEM HAGLILIT
Mailing Address - State:HAZAFON DISTRICT
Mailing Address - Zip Code:36007
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:622 W. 168TH STREET
Practice Address - Street 2:PRESBYTERIAN HOSPITAL BUILDING, 18TH FL. 18126
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-3015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-09-10
Deactivation Date:2024-09-09
Deactivation Code:
Reactivation Date:2024-09-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program