Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 246746 | NY |
NPI | 1083896120 |
---|---|
Provider Name | Dr. Franck Taghi Tirgari |
First Address | Elmira, NY 14901-3230 |
Second Address | Elmira, NY 14905-1629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 21/10/2016 |