Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 153915 | NY |
NPI | 1154428738 |
---|---|
Provider Name | Francesco Tenti |
First Address | Plainview, NY 11803-5022 |
Second Address | Plainview, NY 11803-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 06/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A60257 | (02) |