DR. Mark Daryl Tieman, M.D.

NPI #1154494003 in Commack, New York

Provider Information

NPI Number: 1154494003
Entity Type: Individual
Name: DR. Mark Daryl Tieman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Nov 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 356 VETERANS MEMORIAL HWY
City: Commack
State: New York
ZIP Code: 11725-4332
Phone: (631) 858-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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