Provider Demographics
NPI:1700349016
Name:TIO, EDUARDO ARSENIO (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:ARSENIO
Last Name:TIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SHERMAN AVE. STE. 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034
Mailing Address - Country:US
Mailing Address - Phone:212-567-4770
Mailing Address - Fax:718-732-2580
Practice Address - Street 1:231 SHERMAN AVE. STE. 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034
Practice Address - Country:US
Practice Address - Phone:212-567-4770
Practice Address - Fax:718-732-2580
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318272208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics