DR. Scott Tashiro Tisdale, O.D.

NPI #1255594453 in Woodbury, New York

Provider Information

NPI Number
1255594453
Entity Type
Individual
Name
DR. Scott Tashiro Tisdale, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jul 8, 2008
Last Updated
Apr 8, 2016

Practice Location

Address
8565 JERICHO TPKE
ZIP Code
11797-1804
Phone
(516) 367-3400

Specialties & Taxonomy Codes

Specialty
Optometrist

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