Mark Daryl Tieman in Huntington - Internal Medicine

Mark Daryl Tieman - NPI 1154494003

Mark Daryl Tieman is a Internal Medicine in Huntington, New York. Mark Daryl Tieman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Daryl Tieman is 1154494003. The last update date is 2007-07-08.

Mark Daryl Tieman's current location address is 34 Copperdale Ln, Huntington, New York. You can contact this provider via phone number 6318580400 and fax number 6315432785. The mailing address for Mark Daryl Tieman is 34 Copperdale Ln, Huntington, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Daryl Tieman
Address 34 Copperdale Ln, Huntington, New York
Phone Number 6318580400
Fax Number 6315432785
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1154494003
Provider Enumeration Date 2006-11-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 34 Copperdale Ln
City Huntington
State New York (NY)
Post Code 117432523
Phone Number 6318580400
Fax Number 6315432785

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 179172
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
179172 NY M.D. LICENSE NUMBER

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FAQs about Mark Daryl Tieman

What is the unique 10-digit identification code issued to Mark Daryl Tieman by the Centers for Medicare & Medicaid Services?

The Mark Daryl Tieman has been assigned the NPI (National Provider Identifier) 1154494003 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Mark Daryl Tieman located?

The Mark Daryl Tieman is located at 34 Copperdale Ln, Huntington, NY 117432523.

What is Mark Daryl Tieman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Daryl Tieman is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

When did the Mark Daryl Tieman receive its 1154494003?

The Mark Daryl Tieman was issued its 1154494003 on 2006-11-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Mark Daryl Tieman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Daryl Tieman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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