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RONALD TISDALE, MD

MD

Family Medicine Physician

NPI: 1790203461IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor — Professional

Code: 101YP2500X

Emergency Medicine

Code: 207P00000X

MD.41401(AL)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

MD.41401(AL)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI

Class of 2017

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Contact & Hours

Via practice · 4 locations total

Address
1 Gustave L Levy Pl
New York, NY 10029

Quick Facts

NPI
1790203461
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
4
Years in Practice
9

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