Individual
MS. BRIANNE MICHELLE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 ANTHONY DR, WEST ISLIP, NY 11795-2340
(516) 965-1981
Mailing address
1429 SYCAMORE AVE, MERRICK, NY 11566-1801
(516) 965-1981
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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