Individual
MRS. LOURDES DEANA TANPIENGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 MAIN ST E, SETAUKET, NY 11733
(631) 751-1523
Mailing address
403 MAIN ST E, SETAUKET, NY 11733
(631) 751-1523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
121856
NY
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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