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NPI Code Detail

MEDICARE: JOSEPH TAMBURRINO

MEDICARE: JOSEPH TAMBURRINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist002519NY

General Provider Information

NPI Number : 1851575559
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH TAMBURRINO
Provider Business Mailing Address
First Line : 1855 UNION BLVD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-7949
Country : US
Telephone Number : 631-665-2100
Fax Number :
Provider Business Practice Location Address
First Line : 1855 UNION BLVD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-7949
Country : US
Telephone Number : 631-665-2100
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOSEPH S. TAMBURRINO
Credential :
Telephone Number : 631-665-2100
Provider Enumeration Date : 12/18/2007
Last Update Date : 02/04/2015

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