Michelle R Tully in Staten Island - Clinical
Michelle R Tully - NPI 1942426523
Michelle R Tully is a Clinical in Staten Island, New York. Michelle R Tully practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle R Tully is 1942426523. The last update date is 2007-07-08.
Michelle R Tully's current location address is 151 B Colon Ave, Staten Island, New York. You can contact this provider via phone number 7189842014. The mailing address for Michelle R Tully is 151 B Colon Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle R Tully |
|---|---|
| Address | 151 B Colon Ave, Staten Island, New York |
| Phone Number | 7189842014 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.M.S.W. |
NPI Number Detail
| NPI Number | 1942426523 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 151 B Colon Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 10308 |
| Phone Number | 7189842014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 074955-1 |
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What is the unique identifier code issued to Michelle R Tully by the Centers for Medicare & Medicaid Services?
The Michelle R Tully has been assigned the NPI (National Provider Identifier) 1942426523. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michelle R Tully?
The Michelle R Tully is situated at 151 B Colon Ave, in the city of Staten Island, state of NY, with the zip code 10308.
What is Michelle R Tully's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michelle R Tully's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Michelle R Tully's 1942426523 issued?
The Michelle R Tully's 1942426523 was issued on 2007-04-18.
When was the information regarding Michelle R Tully, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michelle R Tully, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.