Individual
LISHA R TINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE MELVILLE, MELVILLE, NY 11747-4833
(631) 824-4115
Mailing address
62 HILL VIEW DR, FLORIDA, NY 10921-1230
(646) 409-9922
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
643239
NY
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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