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

Tubman MD

Organization Gynecology Physician · NPI 1720402613

Tubman MD is a Gynecology Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

78 Cromwell Ave
Staten Island, NY 10304-3912
Phone: (718) 987-9175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 240622 (NY)

Record details

NPI number1720402613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Inna Tubman — Physician · (917) 862-4218
NPI enumeratedFebruary 12, 2014
Last updated in NPPESFebruary 12, 2014
Mailing address100 Joline Ave, Staten Island, NY 10307-2019

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