Individual
HOWARD I TISZENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 445-0220
(718) 939-1167
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 670-2127
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
154956
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026080
—
NY
Enumeration date
05/19/2006
Last updated
07/31/2013
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