Amanda L Tulley, PA
Physician Assistant, Medical in New York, NY. Individual provider (NPI-1).
NPI number1730595992
StatusActive
Last updated in NPPESJul 9, 2014
Details
- NPI
- 1730595992
- Entity type
- Individual (NPI-1)
- Name
- Amanda L Tulley
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2014
- Last updated
- Jul 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
177 Fort Washington AveNew York, NY 10032-3733
Phone 212-305-8923
Mailing address
14 Furwood DrEast Northport, NY 11731-3113
Phone 631-807-1332
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