Individual
MRS. AMELIA TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
139 ROE ST, STATEN ISLAND, NY 10310-2306
(718) 720-6650
Mailing address
139 ROE ST, STATEN ISLAND, NY 10310-2306
(718) 720-6650
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430453
NY
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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