Individual
MARION EUNICE BERBANO TAMESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 REYNOLDS RD, JOHNSON CITY, NY 13790-1308
(607) 444-5446
(607) 444-5447
Mailing address
302 REYNOLDS RD, JOHNSON CITY, NY 13790-1308
(607) 444-5446
(607) 444-5447
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD437262
PA
208000000X
Pediatrics Physician
MD437262
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02667729
—
NY
05
—
1023809860001
—
PA
01
—
I34274
UPIN
CO
Enumeration date
07/10/2006
Last updated
12/18/2024
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