Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 179589-1 | NY |
NPI | 1043220460 |
---|---|
Provider Name | Nina A. Tomei |
First Address | Huntington, NY 11743 |
Second Address | Huntington, NY 11743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 02/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01237801 | (05) | NY |
2698164 | GHI (01) | NY |
2C4842 | HEALTHNET (01) | NY |
54751N | BLUE CROSS/ BLUE SHIELD (01) | NY |
CP153 | OXFORD (01) | NY |
E83935 | (02) | NY |