Tamesis, Marion Eunice Berbano
Tamesis, Marion Eunice Berbano is an individual health care provider with primary practice located at 302 Reynolds Rd , Johnson City NY 13790-1308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Tamesis, Marion Eunice Berbano can be contacted via phone (607) 444-5446.Contact Information
Primary practice address
302 Reynolds Rd
Johnson City NY 13790-1308
Phone: (607) 444-5446
Fax: (607) 444-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD437262 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD437262 | Pennsylvania |
Profile Details
| NPI number | 1821022344 |
|---|---|
| LBN Legal business name | Tamesis, Marion Eunice Berbano |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821022344 | NPPES |
| Pennsylvania | MEDICAID | 1023809860001 | |
| Pennsylvania | Other | I34274 | |
| Pennsylvania | MEDICAID | 02667729 |
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