Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

I.a. Tangoren, MD, PLLC

Organization Dermatology Physician · NPI 1265594584

I.a. Tangoren, MD, PLLC is a Dermatology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2949 Erie Blvd E Ste 110
Syracuse, NY 13224-1460
Phone: (315) 424-1430
Fax: (315) 424-1779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 209386-1 (NY)

Record details

NPI number1265594584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Barrett-Tangoren — Practice Administrator · (315) 569-7900
NPI enumeratedDecember 14, 2006
Last updated in NPPESSeptember 24, 2013
Mailing address2949 Erie Blvd E Ste 110, Syracuse, NY 13224-1460

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