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Contact Information

MARIO F TAGLIAGAMBE JR, MD
32 HYATT AVE
YONKERS, NY10704-4311
 Phone: 914-803-1100
 Fax: 914-337-2803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARIO F TAGLIAGAMBE JR · (Male)

NPI Number 1407906969
Credentials MD
Entity Individual
Enumeration date 01/10/2007
Last updated 10/15/2012 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
NY License # 181967
NY Medicare UPIN E99741
Hospital affiliation(s)
  • ADIRONDACK MEDICAL CENTER - (Acute Care)
    2233 STATE ROUTE 86
    SARANAC LAKE, NY 12983
  • ALICE HYDE MEDICAL CENTER - (Acute Care)
    133 PARK STREET
    MALONE, NY 12953
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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