Individual
DR. SHIRLEY MALABANAN TANSIONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 OLD COUNTRY RD BLDG H, PLAINVIEW, NY 11803-5010
(516) 694-6008
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
189475
NY
Other
Enumeration date
04/20/2006
Last updated
11/12/2009
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