Organization
NICHOLAS C TUMMINELLO DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS CHARLES TUMMINELLO D.P.M. (PRESIDENT)
(516) 619-3338
Entity
Organization
Contact information
Practice address
263 BROADWAY, SUITE 1B LOWER LEVEL, LYNBROOK, NY 11563-3243
(516) 619-3338
(516) 619-0202
Mailing address
263 BROADWAY, SUITE 1B LOWER LEVEL, LYNBROOK, NY 11563-3243
(516) 619-3338
(516) 619-0202
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N004919
NY
213ES0000X
Sports Medicine Podiatrist
N004919
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004919
NY
Other
Enumeration date
05/19/2008
Last updated
09/18/2015
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