Provider Demographics
NPI:1447410840
Name:TAGLIENTI, PAUL W (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:TAGLIENTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:ST. CATHERINE'S OF SIENA HOSPITAL 50 NY-25A
Mailing Address - Street 2:EMERGENCY MEDICAL OFFICE
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-862-3111
Mailing Address - Fax:631-862-3169
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:MEDICAL STAFF OFFICE
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-7148
Practice Address - Country:US
Practice Address - Phone:631-444-2754
Practice Address - Fax:631-444-6031
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2022-12-06
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Provider Licenses
StateLicense IDTaxonomies
NY261578207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine