Provider Demographics
NPI:1174588040
Name:TANSIONGCO, DENNIS TOBIAS (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:TOBIAS
Last Name:TANSIONGCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 THE LOCH
Mailing Address - Street 2:
Mailing Address - City:ROSLYN ESTATES
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1917
Mailing Address - Country:US
Mailing Address - Phone:516-621-3127
Mailing Address - Fax:516-621-3127
Practice Address - Street 1:1425 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5010
Practice Address - Country:US
Practice Address - Phone:516-694-6008
Practice Address - Fax:516-694-6223
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193133207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine