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Contact Information

TINA JOSEPH, MD
625 BELLE TERRE RD
SUITE 202
PORT JEFFERSON, NY11777
 Phone: 631-689-0220
 Fax: 631-686-7626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TINA JOSEPH · (Female)

NPI # 1285868471
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2009
Last updated 02/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 294607
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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