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

Tamara Tanner

Individual provider Pediatric Rheumatology Physician · NPI 1053706937

Tamara Tanner is a Pediatric Rheumatology Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
Show map & directions

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

Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 289317 (NY)

Record details

NPI number1053706937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address3415 Bainbridge Ave, Bronx, NY 10467-2403

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