| Dr Ibrahim Ahmad Tangoren, MD | |
|
2949 Erie Boulevard East, Syracuse, NY 13224-1460 | |
| (315) 579-9037 | |
| (315) 424-1779 |
| Full Name | Dr Ibrahim Ahmad Tangoren |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 2949 Erie Boulevard East, Syracuse, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770578601 | NPI | - | NPPES |
| 01899210 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 209386 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ia Tangoren Md Pllc | 7517858475 | 4 |
| Entity Name | Ia Tangoren Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265594584 PECOS PAC ID: 7517858475 Enrollment ID: O20040322001093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ibrahim Ahmad Tangoren, MD 2949 Erie Boulevard East, Syracuse, NY 13224-1460 Ph: (315) 579-9037 | Dr Ibrahim Ahmad Tangoren, MD 2949 Erie Boulevard East, Syracuse, NY 13224-1460 Ph: (315) 579-9037 |
Dr. Joyce B Farah, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1000 E Genesee St, Suite 601, Syracuse, NY 13210 Phone: 315-422-8331 Fax: 315-422-3129 | |
Dr. Ramsay S Farah, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1000 E Genesee St, Suite 601, Syracuse, NY 13210 Phone: 315-422-8331 Fax: 315-422-3129 | |
Dr. Jon Curtis Lochner, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4900 Broad Road, Suite 4p, Syracuse, NY 13215 Phone: 315-492-5727 Fax: 315-492-5003 | |
Karen Lee Quint, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 East Genesse St, Ste 100, Syracuse, NY 13210 Phone: 315-701-0070 Fax: 315-701-0075 | |
Dr. Lewis M Dubroff, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 475 Irving Ave, Suite 314, Syracuse, NY 13210 Phone: 315-471-3384 Fax: 315-471-3394 |