Basic Information
| Provider Information | |||||||||
| NPI: | 1467833970 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | YAMANY | ||||||||
| FirstName: | TAMMER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | MASSACHUSETTS GENERAL HOSPITAL | ||||||||
| Address2: | 55 FRUIT ST. | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177262800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E 77TH ST | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100751850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124342000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2015 | ||||||||
| LastUpdateDate: | 07/14/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 282039 | MA | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | 305347 | NY | Y | Allopathic & Osteopathic Physicians | Urology | 208600000X | L-263973 | MA | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.