Provider Demographics
NPI:1497115653
Name:TUMINSKI, KATARZYNA
Entity Type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:
Last Name:TUMINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KASIA
Other - Middle Name:
Other - Last Name:TUMINSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17A WAKEMAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-2918
Mailing Address - Country:US
Mailing Address - Phone:631-723-0965
Mailing Address - Fax:
Practice Address - Street 1:17A WAKEMAN RD
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-2918
Practice Address - Country:US
Practice Address - Phone:631-723-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist