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1558989137
EDISON TYLI
STATEN ISLAND, NY
NPI
1558989137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431757)
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
EDISON TYLI NP
375 SEGUINE AVE
STATEN ISLAND, NY 10309-3932
Phone number: 718-226-2000
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Mailing Address
EDISON TYLI NP
151 MORANI ST
STATEN ISLAND, NY 10314-1672
Phone number: 646-369-3611
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