Individual
DR. IDA MANUEL TIONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 E 65TH ST, STE123, NEW YORK, NY 10021-6743
(212) 988-2634
(212) 679-8808
Mailing address
320 E 65TH ST, STE123, NEW YORK, NY 10021-6743
(212) 988-2634
(212) 679-8808
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
125323
NY
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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