| Dr Mark Daryl Tieman, MD | |
|
356 Veterans Memorial Hwy, Commack, NY 11725-4332 | |
| (631) 858-0400 | |
| (631) 543-2785 |
| Full Name | Dr Mark Daryl Tieman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 356 Veterans Memorial Hwy, Commack, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154494003 | NPI | - | NPPES |
| 179172 | Other | NY | M.D. LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 179172 (New York) | Primary |
| Entity Name | Mark Tieman, Md, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821375940 PECOS PAC ID: 4082889225 Enrollment ID: O20111216000001 |
| Entity Name | Vytaliz Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568831105 PECOS PAC ID: 7719296938 Enrollment ID: O20151028002361 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Daryl Tieman, MD 34 Copperdale Ln, Huntington, NY 11743-2523 Ph: (631) 858-0400 | Dr Mark Daryl Tieman, MD 356 Veterans Memorial Hwy, Commack, NY 11725-4332 Ph: (631) 858-0400 |
Elizabeth Adele Sturm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2262 | |
Dr. Karen Blau, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Prabha Pillai, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 45 Mall Dr, Commack, NY 11725 Phone: 914-376-5555 | |
Dr. Saadat Ul Aleem, M.D./PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Commack Rd Unit 150d, Commack, NY 11725 Phone: 934-223-7123 Fax: 934-223-7118 | |
Asmita Satapathy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Larkfield Rd Ste 1, Commack, NY 11725 Phone: 631-635-5100 | |
Janice Shen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4258 | |
Steven M Sugarman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 646-227-3813 |