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

Tarkhanov Medical PC

Organization Primary Care Clinic/Center · NPI 1508308743

Tarkhanov Medical PC is a Primary Care Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Rome Ave
Staten Island, NY 10304-4317
Phone: (718) 351-6203
Fax: (917) 652-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 243184 (NY)

Record details

NPI number1508308743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nikolay Tarkhanov — Owner · (718) 351-6203
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016
Mailing address15 Rome Ave, Staten Island, NY 10304-4317

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