KELSEY TIDLAND

NEW YORK, NY
NPI1568815314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  341723)
Enumeration Date2016-07-18
Last Update Date2018-05-16
Business Address
-- KELSEY TIDLAND
50 MURRAY ST APT #1319
NEW YORK, NY 10007-2252
Phone number: 949-584-3314
Mailing Address
-- KELSEY TIDLAND
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530-3909
Phone number: 516-488-1313
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