Organization
MIGUEL A. TIRADO, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A TIRADO MD (MD)
(718) 967-0330
Entity
Organization
Contact information
Practice address
305 SEGUINE AVE, STATEN ISLAND, NY 10309-3730
(718) 967-0330
(732) 608-6639
Mailing address
PO BOX 61667, STATEN ISLAND, NY 10306-7667
(718) 967-0330
(732) 608-6639
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
203529
NY
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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