Individual
MS. TASHEA TAMIKA GALLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PNP, RN, CPN
Contact information
Practice address
111 EAST 210TH STREET, BRONX, NY 10467-2490
(917) 597-5352
(718) 515-0376
Mailing address
111 EAST 210TH STREET, BRONX, NY 10467-2490
(917) 597-5352
(718) 515-0376
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382147-1
NY
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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