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Individual

MS. TYHISHA SHASON DUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
758 S OAK DR, BRONX, NY 10467-6566
(347) 336-4734
Mailing address
PO BOX 211123, WOODHAVEN, NY 11421-6123
(347) 336-4734

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
618296
NY
163WC0400X
Case Management Registered Nurse
618296
NY
163WC1500X
Community Health Registered Nurse
618296
NY
163WH0200X
Home Health Registered Nurse
Primary
618296
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
618296
NY

Other

Enumeration date
09/30/2012
Last updated
09/30/2012
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