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Individual

DR. JOHN TIGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 HUDSON VALLEY AVE, STE 200, NEW WINDSOR, NY 12553-4746
(845) 561-2773
(914) 593-7881
Mailing address
PO BOX 5046, CLIENT ID # 400004, NEW BRITAIN, CT 06050-5046
(212) 563-2497
(914) 493-5827

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
213603
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01973000
NY
01
060054491
RAIL ROAD MEDICARE
NY
01
54B113K222
PTAN
NY
Enumeration date
05/24/2005
Last updated
04/30/2021
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