Healthcare Provider Details

I. General information

NPI: 1538232962
Provider Name (Legal Business Name): ARSENIO MIGUEL TIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SHERMAN AVE SUITE 1F
NEW YORK NY
10034-2511
US

IV. Provider business mailing address

231 SHERMAN AVE SUITE 1F
NEW YORK NY
10034-2511
US

V. Phone/Fax

Practice location:
  • Phone: 212-567-4770
  • Fax: 718-732-2580
Mailing address:
  • Phone: 212-567-4770
  • Fax: 212-544-9014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number168328
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: