| Doctor Name: | DR. PETER F TAORMINO |
| NPI Number: | 1497702690 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D. P. M. |
| License Number: | N003292 |
| Business Practice Address: | 622 Hawkins Ave Ste 8 Lake Ronkonkoma, NY - 117792374 |
| Business Phone Number: | 6314672813 |
| Business Fax Number: | 6314671417 |
| Mailing Address: | 622 Hawkins Ave Ste 8, LAKE RONKONKOMA |
| State: | NY |
| Postal Code: | 117792374 |
| Phone Number: | 6314672813 |
| Fax Number: | 6314671417 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N003292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |