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Contact Information

GERARDO TAMAYO ENRIQUEZ, MD
300 COMMUNITY DR DEPT OF
MANHASSET, NY11030-3816
 Phone: 516-562-0100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Transplant Surgery

204F00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GERARDO TAMAYO ENRIQUEZ · (Male)

NPI # 1659410678
Status Active
Credentials MD
Entity Individual
Enumeration date 02/06/2007
Last updated 10/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-8382
  • MO License # 2012020960
  • NM License # 2005-0262
  • NY License # 302552
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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