Individual
DR. JOHN TSIALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
358 JERICHO TPKE, SYOSSET, NY 11791-4544
(516) 677-9200
(516) 677-9202
Mailing address
358 JERICHO TPKE, SYOSSET, NY 11791-4544
(516) 677-9200
(516) 677-9202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863505
—
NY
Enumeration date
07/04/2006
Last updated
06/13/2019
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