Tiso, Robert L

Tiso, Robert L is an individual health care provider with primary practice located at 5496 East Taft Road , North Syracuse NY 13212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Tiso, Robert L can be contacted via phone (315) 552-6700.

Contact Information

Primary practice address
5496 East Taft Road North Syracuse NY 13212
Phone: (315) 552-6700
Fax: (315) 552-6701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 171318 New York

Profile Details

NPI number 1942295092
LBN Legal business name Tiso, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942295092 NPPES
New York MEDICAID 01196510

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