MEDICARE: VINETTE W. TUMMINGS, M.D.

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
1	207VG0400X	Gynecology Physician	203949	NY

General Provider Information

NPI Number	:	1144303058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VINETTE W. TUMMINGS, M.D.

Provider Business Mailing Address
First Line	:	363 GREENE AVE
Second Line	:	GROUND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11216-4749
Country	:	US
Telephone Number	:	718-789-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	363 GREENE AVE
Second Line	:	GROUND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11216-4749
Country	:	US
Telephone Number	:	718-789-1101
Fax Number	:

Authorized Official
Title or Position	:	GYNECOLOGIST
Name	:	DR. VINETTE W. TUMMINGS
Credential	:	M.D.
Telephone Number	:	718-789-1101

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	03/22/2013

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