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Dr. Willians Tambo, MD, PhD

Student in an Organized Health Care Education/Training Program in Manhasset, NY. Individual provider (NPI-1).

NPI number1619815081
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1619815081
Entity type
Individual (NPI-1)
Name
Dr. Willians Tambo
Credential
MD, PhD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 24, 2026
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

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

Practice location

300 Community Dr
Manhasset, NY 11030-3876

Phone 718-470-7808

Mailing address

300 Community Dr
Manhasset, NY 11030-3876

Other practice locations

27005 76th Ave
New Hyde Park, NY 11040-1402

Phone 718-470-7808

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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

All 492 Student in an Organized Health Care Education/Training Program providers in Manhasset · All 3,053 providers in Manhasset

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