Individual
TIA DEMILLE WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6200
Mailing address
3 NANCY PLACE, SELDEN, NY 11784
(631) 846-6701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
240584
NY
Other
Enumeration date
12/15/2006
Last updated
07/31/2008
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