Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N002519-1 | NY |
NPI | 1235153784 |
---|---|
Provider Name | Dr. Joseph S Tamburrino |
First Address | Eastport, NY 11941 |
Second Address | Bayshore, NY 11706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 19/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T50793 | (02) | NY |