Individual
MS. AMANTE TISLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-7003
Mailing address
1334 EASTERN PKWY APT 2C, BROOKLYN, NY 11233-5220
(212) 365-8059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008765-1
NY
Other
Enumeration date
12/12/2006
Last updated
07/21/2022
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