Calogero C. Tumminello, M.d., P.c. | |
7817 Metropolitan Ave Middle Village NY 11379-2928 | |
(718) 497-1399 | |
(718) 497-1451 |
Full Name | Calogero C. Tumminello, M.d., P.c. |
---|---|
Speciality | Internal Medicine |
Location | 7817 Metropolitan Ave, Middle Village, New York |
Authorized Official Name and Position | Calogero C Tumminello (CEO/PRESIDENT) |
Authorized Official Contact | 7184971399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Calogero C. Tumminello, M.d., P.c. 7817 Metropolitan Ave Middle Village NY 11379-2928 Ph: (718) 497-1399 | Calogero C. Tumminello, M.d., P.c. 7817 Metropolitan Ave Middle Village NY 11379-2928 Ph: (718) 497-1399 |
NPI Number | 1578552105 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 02/12/2011 |
Medicare PECOS PAC ID | 1658316260 |
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Medicare Enrollment ID | O20090204000053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578552105 | NPI | - | NPPES |
01335175 | Medicaid | NY | |
33D1019073 | Other | NY | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 185-153 (New York) | Primary |
208D00000X | General Practice | 185-153 (New York) | Secondary |
Provider Name | Calogero Tumminello |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346239969 PECOS PAC ID: 7911942529 Enrollment ID: I20050629000222 |
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