Individual
DR. MATTHEW VINCENT TANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK MEDICINE, DEPT OF EM, HSC LEVEL 4, RM 050, STONY BROOK, NY 11794
(631) 444-2478
(631) 444-3919
Mailing address
101 NICOLLS RD, STONY BROOK MEDICINE, DEPT OF EM, HSC LEVEL 4, RM 050, STONY BROOK, NY 11794
(631) 444-2478
(631) 444-3919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
309203
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
06/16/2021
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