Individual
MS. MALY TIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
185 CENTRAL AVE, BETHPAGE, NY 11714-3927
(516) 758-8600
(294) 559-8139
Mailing address
185 CENTRAL AVE, BETHPAGE, NY 11714-3927
(516) 758-8600
(929) 455-9813
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305232-1
NY
Other
Enumeration date
09/07/2011
Last updated
01/18/2024
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