# NICHOLAS C TUMMINELLO DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811154834
- **Authorized official:** DR. NICHOLAS CHARLES TUMMINELLO D.P.M. (PRESIDENT)
- **Authorized official phone:** (516) 619-3338

## Contact information

- **Practice address:** 263 BROADWAY, SUITE 1B LOWER LEVEL, LYNBROOK, NY 11563-3243
- **Practice address phone:** (516) 619-3338
- **Practice address fax:** (516) 619-0202
- **Mailing address:** 263 BROADWAY, SUITE 1B LOWER LEVEL, LYNBROOK, NY 11563-3243
- **Mailing address phone:** (516) 619-3338
- **Mailing address fax:** (516) 619-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | N004919 | NY | — |
| 213ES0000X | Sports Medicine Podiatrist | N004919 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004919 | NY | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 09/18/2015