Individual provider · Type 1 NPI

Maly Tiev, ANP

Adult Health Nurse Practitioner · Bethpage, NY

NPI number 1508147398 Active

Practice location

185 Central Ave
Bethpage, NY 11714-3927

Fax (294) 559-8139

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF305232-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1508147398

Maly Tiev, ANP's National Provider Identifier is 1508147398, issued on Sep 7, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bethpage, NY. The record was last updated on Jan 18, 2024.