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Individual

MS. JULIE ANNE TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MIDWIFE

Contact information

Practice address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001338
NY
176B00000X
Midwife
F001338-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03161626
NY
Enumeration date
10/12/2009
Last updated
10/15/2019
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