Kevin L Tack, MD
Kevin L Tack, MD is a Gastroenterology in Manhasset, New York. Graduated from State University of New York at Buffalo School of Medicine in 1988, 38 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 38
- Trained at
- State University of New York at Buffalo School of Medicine
- Licensed in
- NY
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1615 Northern BlvdManhasset, NY 11030-3033
Phone: (516) 627-3717
Fax: (516) 869-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 180244 (NY) |
|---|
Record details
| NPI number | 1871599605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 27, 2005 |
| Last updated in NPPES | December 4, 2009 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Group practice | North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Manhasset
-
Robert a Gal MD PC
300 Community Dr, Manhasset, NY 11030-3816 · (516) 286-6978
-
Samip Shah
300 Community Dr, Manhasset, NY 11030-3816 · (516) 562-0100
-
Bernard Stark, MD
Nsuh Dept OF Medicine Division OF Gastroenterology 300 Community Drive, Manhasset, NY 11030 · (516) 562-4281
-
Dr. Keith Sultan, MD
300 Community Drive Division Of Gastroenterology, Manhasset, NY 11030 · (516) 562-4281