Provider Demographics
NPI:1861061004
Name:TANGOUR, NIZAR (MD)
Entity type:Individual
Prefix:MR
First Name:NIZAR
Middle Name:
Last Name:TANGOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430E 34TH STREET
Mailing Address - Street 2:HASSENFELD CHILDREN HOSPITAL, NYU LANGONE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-8400
Mailing Address - Fax:212-534-7831
Practice Address - Street 1:1901 FIRST AVENUE ROOM 523
Practice Address - Street 2:METROPOLITAN HOSPITAL CENTER - DEPARTMENT OF PEDIATRICS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-7834
Practice Address - Fax:212-534-7831
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program