MARK TIEMAN, MD, PC
Ambulatory Health at Veterans Memorial Hwy, Commack, NY

License number
New York 179172
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MARK DARYL TIEMAN MD
Title: PRESIDENT
Phone: (631) 424-9844
Address
Address 2
356 Veterans Memorial Hwy, Commack, NY 11725
34 Copperdale Ln, Hunt, NY 11743
National Provider ID: 1821375940
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK TIEMAN, M.D., PC

34 Copperdale Ln, Huntington, NY 11743

Industry:
Medical Doctor's Office
Doing business as:
Mark Tieman MD PC
Registration:
Jan 11, 2000
Phone:
(631) 424-9844 (Phone)
State ID:
2459901
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chairman, President, Chief Executive Officers:
Mark Tieman Md, 34 Copperdale Ln, Huntington, NY 11743 (Physical),Mark Tieman Chairman, President, Chief Executive Officer, inactive

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