Provider Demographics
NPI:1750553301
Name:TIU, AURORA TOMPAR (MD)
Entity type:Individual
Prefix:DR
First Name:AURORA
Middle Name:TOMPAR
Last Name:TIU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3510 BAINBRIDGE AVE
Mailing Address - Street 2:SUITE S1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-1409
Mailing Address - Country:US
Mailing Address - Phone:917-930-2128
Mailing Address - Fax:201-357-4163
Practice Address - Street 1:3510 BAINBRIDGE AVE
Practice Address - Street 2:SUITE S1
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-1409
Practice Address - Country:US
Practice Address - Phone:917-930-2128
Practice Address - Fax:201-357-4163
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2135052084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH11801Medicare UPIN