Individual
FAITH AYUMI TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
1590 ANDERSON AVE APT 6D, FORT LEE, NJ 07024-2708
(206) 850-0696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017802
NY
Other
Enumeration date
11/05/2014
Last updated
09/11/2023
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