SearchNew York363A00000X

Kellianne Tulley

NPI 1760842637 · on the registry since 2016

Practice

Address
21 Woodbine Ave
Merrick, NY 11566
Phone
(516) 663-8963

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York