Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F3038331 | NY |
NPI | 1013925528 |
---|---|
Provider Name | Mrs. Meenawattee Tulsie |
First Address | White Plains, NY 10601 |
Second Address | White Plains, NY 10601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02690095 | (05) | NY |
Q58694 | (02) |