Individual
AMBER TULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP N
Contact information
Practice address
2311 97TH ST, EAST ELMHURST, NY 11369-1217
(347) 465-4803
Mailing address
2311 97TH ST, EAST ELMHURST, NY 11369-1217
(347) 465-4803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318839
NY
Other
Enumeration date
03/08/2015
Last updated
03/08/2015
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