| Miguel A. Tirado, Md Pllc | |
|
305 Seguine Ave Staten Island NY 10309-3730 | |
| (718) 967-0330 | |
| (732) 608-6639 |
| Full Name | Miguel A. Tirado, Md Pllc |
|---|---|
| Speciality | General Practice |
| Location | 305 Seguine Ave, Staten Island, New York |
| Authorized Official Name and Position | Miguel A Tirado (MD) |
| Authorized Official Contact | 7189670330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel A. Tirado, Md Pllc Po Box 61667 Staten Island NY 10306-7667 Ph: (718) 967-0330 | Miguel A. Tirado, Md Pllc 305 Seguine Ave Staten Island NY 10309-3730 Ph: (718) 967-0330 |
| NPI Number | 1275668527 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275668527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 203529 (New York) | Primary |
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