Individual
CARMEN ANDREA TAMAYO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
30 W MAIN ST, MOUNT KISCO, NY 10549-1910
(914) 666-3272
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00286162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04551066
—
NY
Enumeration date
04/09/2013
Last updated
02/02/2017
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