Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 245160 | NY |
NPI | 1013175959 |
---|---|
Provider Name | Dr. Michael Tafoya |
First Address | Uniondale, NY 11556-1301 |
Second Address | New York, NY 10065-5913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 07/07/2015 |