EDISON TYLI

STATEN ISLAND, NY
NPI1558989137
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: NY  431757)
Enumeration Date2020-07-09
Last Update Date2020-07-09
Business Address
EDISON TYLI NP
375 SEGUINE AVE
STATEN ISLAND, NY 10309-3932
Phone number: 718-226-2000
Mailing Address
EDISON TYLI NP
151 MORANI ST
STATEN ISLAND, NY 10314-1672
Phone number: 646-369-3611