Doctor Name: | MRS. MEENAWATTEE TULSIE |
NPI Number: | 1013925528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F3038331 |
Business Practice Address: | 3 Barker Ave 4th Floor Park Avenue Medical Associates Pc White Plains, NY - 10601 |
Business Phone Number: | 9149491199 |
Business Fax Number: | 9149491245 |
Mailing Address: | 3 Barker Ave, 4th Floor Park Avenue Medical Associates Pc WHITE PLAINS |
State: | NY |
Postal Code: | 10601 |
Phone Number: | 9149491199 |
Fax Number: | 9149491245 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F3038331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |