Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 186039 | NY |
NPI | 1003844374 |
---|---|
Provider Name | Susana P Tinsay |
First Address | New York, NY 10028-0892 |
Second Address | New York, NY 10028-0892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 03/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01415461 | (05) | NY |
F17738 | (02) | NY |
P00403322 | RAILROAD (01) | NY |