Individual
TRISTAN DREY MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4209 28TH ST # CN22H, LONG ISLAND CITY, NY 11101-4130
(212) 504-4115
Mailing address
4209 28TH ST # CN22A, LONG ISLAND CITY, NY 11101-4130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036147415
IL
207R00000X
Internal Medicine Physician
284252
NY
207RI0200X
Infectious Disease Physician
036147415
IL
207RI0200X
Infectious Disease Physician
Primary
284252
NY
208000000X
Pediatrics Physician
036147415
IL
208000000X
Pediatrics Physician
284252
NY
Other
Enumeration date
04/04/2012
Last updated
08/11/2024
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