Individual provider · Type 1 NPI
Randygeorge Tyme, NP
Family Nurse Practitioner · New Hyde Park, NY
NPI number
1386407526
Active
Practice location
450 Lakeville Rd Ste M41-M42
New Hyde Park, NY 11042-1118
Mailing address
450 Lakeville Rd Ste M41M42
New Hyde Park, NY 11042-1118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 353456 (NY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1386407526
Randygeorge Tyme, NP's National Provider Identifier is 1386407526, issued on Jan 31, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jan 31, 2024.