Individual
VISHAL TOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
289370
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
289370
NY
207RP1001X
Pulmonary Disease Physician
Primary
289370
NY
207RP1001X
Pulmonary Disease Physician
DO2024-0155
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
04/28/2025
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