Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 263666 | NY |
N | 207PE0004X | Emergency Medical Services | 263666 | NY |
NPI | 1013234475 |
---|---|
Provider Name | Dr. Christopher Thomas Tanski |
First Address | Syracuse, NY 13210-2306 |
Second Address | Syracuse, NY 13210-2306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 17/07/2014 |