Tishana Nelson
Specialist in East Elmhurst, NY. Individual provider (NPI-1).
NPI number1699174367
StatusActive
Last updated in NPPESAug 19, 2014
Details
- NPI
- 1699174367
- Entity type
- Individual (NPI-1)
- Name
- Tishana Nelson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2014
- Last updated
- Aug 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1125802 | NY | Yes |
Practice location
2744 Ericsson StEast Elmhurst, NY 11369-1942
Phone 917-335-7020
Mailing address
2744 Ericsson StEast Elmhurst, NY 11369-1942
Phone 917-335-7020
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All 22 Specialist providers in East Elmhurst · All 483 providers in East Elmhurst
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