Shane Mark Tull is a Clinical in Brooklyn, New York. Shane Mark Tull practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shane Mark Tull is 1306857230. The last update date is 2013-04-12.
Shane Mark Tull's current location address is 549 Throop Ave, Brooklyn, New York. You can contact this provider via phone number 9478844135 and fax number 7185769424. The mailing address for Shane Mark Tull is 549 Throop Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Mark Tull |
|---|---|
| Address | 549 Throop Ave, Brooklyn, New York |
| Phone Number | 9478844135 |
| Fax Number | 7185769424 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306857230 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2013-04-12 |
Provider Mailing Address Detail
| Address | 549 Throop Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112162434 |
| Phone Number | 9478844135 |
| Fax Number | 7185769424 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 74557 |
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Post Comment/ Review Below
What is the unique identifier code issued to Shane Mark Tull by the Centers for Medicare & Medicaid Services?
The Shane Mark Tull has been assigned the NPI (National Provider Identifier) 1306857230. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shane Mark Tull's facilities are geographically located?
The facilities of Shane Mark Tull are physically situated at the following location: 549 Throop Ave, Brooklyn, NY, 112162434.
What is Shane Mark Tull's area of expertise and its corresponding taxonomy classification?
The Shane Mark Tull's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1306857230 assigned to Shane Mark Tull?
The Shane Mark Tull was issued its 1306857230 on 2006-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shane Mark Tull's information last updated?
The Shane Mark Tull's information was last updated on 2013-04-12.