Jorge Johnny Tirado, MD Valid NPI

Individual provider · Vascular & Interventional Radiology Physician · Manhasset, NY

NPI

1043673692

Type

Individual (Type 1)

Primary specialty

Vascular & Interventional Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0204X

License number

317374-01 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2016-03-31

Last updated

2022-06-09