Tatiana Requijo
Tatiana Requijo is an Internal Medicine in New York, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
17 E 102nd St Fl 4New York, NY 10029-5204
Phone: (212) 659-8552
Fax: (212) 860-9737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 324657 (NY) |
|---|
Record details
| NPI number | 1447830856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2021 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Also practises | GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE |
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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