Individual
DR. TYESHA HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(212) 369-8209
Mailing address
2369 2ND AVE, NEW YORK, NY 10035-3108
(212) 876-2300
(212) 369-8209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F-403510
NY
Other
Enumeration date
07/14/2010
Last updated
10/26/2021
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