Individual provider · NPI-1

Tulio Brasileiro Silva Pacheco, MD

Surgery · Mineola, NY

NPI number1124649629
StatusActive
Last updated in NPPESJul 16, 2026

Details

NPI
1124649629
Entity type
Individual (NPI-1)
Name
Tulio Brasileiro Silva Pacheco
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 6, 2020
Certification date
Jul 16, 2026
Last updated
Jul 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery336982NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

222 Station Plz N Ste 300
Mineola, NY 11501-3893

Phone 516-663-8707

Mailing address

1501 Prospect Ave
East Meadow, NY 11554-4836

Phone 917-244-4662

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