Provider Demographics
NPI:1144303058
Name:VINETTE W. TUMMINGS, M.D.
Entity type:Organization
Organization Name:VINETTE W. TUMMINGS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GYNECOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VINETTE
Authorized Official - Middle Name:W
Authorized Official - Last Name:TUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-789-1101
Mailing Address - Street 1:363 GREENE AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-4749
Mailing Address - Country:US
Mailing Address - Phone:718-789-1101
Mailing Address - Fax:
Practice Address - Street 1:363 GREENE AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-4749
Practice Address - Country:US
Practice Address - Phone:718-789-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203949207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG42191Medicare UPIN