Individual
TISHA MARIE TANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1263 DELAWARE AVE, BUFFALO, NY 14209-2402
(716) 886-8200
Mailing address
195 WILLOWGROVE S, TONAWANDA, NY 14150-4517
(716) 863-3235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402567
NY
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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