Superio Tan Jao in Smithtown - Family Medicine
Superio Tan Jao - NPI 1407969819
Superio Tan Jao is a Family Medicine in Smithtown, New York. Superio Tan Jao practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Superio Tan Jao is 1407969819. The last update date is 2007-07-08.
Superio Tan Jao's current location address is 278a East Main St, Smithtown, New York. You can contact this provider via phone number 6313664550 and fax number 6313664556. The mailing address for Superio Tan Jao is 278a East Main St, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Superio Tan Jao |
|---|---|
| Address | 278a East Main St, Smithtown, New York |
| Phone Number | 6313664550 |
| Fax Number | 6313664556 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407969819 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 278a East Main St |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 11787 |
| Phone Number | 6313664550 |
| Fax Number | 6313664556 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 173312 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1216628 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Superio Tan Jao by the Centers for Medicare & Medicaid Services?
The Superio Tan Jao has been assigned the NPI (National Provider Identifier) 1407969819. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Superio Tan Jao is geographically located?
The Superio Tan Jao is physically situated at the following location: 278A East Main St, Smithtown, NY, 11787.
What is Superio Tan Jao's area of expertise and its corresponding taxonomy classification?
The Superio Tan Jao's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1407969819 assigned to Superio Tan Jao?
The Superio Tan Jao was issued its 1407969819 on 2006-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Superio Tan Jao's details last updated?
The information pertaining to the Superio Tan Jao, including its address, specialty, and other details, was most recently updated on 2007-07-08.