Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 130149 | NY |
Y | 111NI0900X | Internist | 130149 | NY |
NPI | 1003123712 |
---|---|
Provider Name | Dr. James Lynn Tomarken |
First Address | Hauppauge, NY 11788-4241 |
Second Address | Hauppauge, NY 11788-4241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2010 |
Last Update Date | 02/09/2010 |