Individual provider · Type 1 NPI

Willians Tambo, MD, PhD

Student in an Organized Health Care Education/Training Program · Manhasset, NY

NPI number 1619815081 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3876

Call (718) 470-7808 Map

Other practice locations

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 · (718) 470-7808

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619815081

Willians Tambo, MD, PhD's National Provider Identifier is 1619815081, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manhasset, NY. The record was last updated on Mar 24, 2026.