Individual provider · Type 1 NPI

Tyisha Gaskin

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1508393315 Active

Practice location

104-70 Queens Boulevard, Suite 200
Forest Hills, NY 11375

Call (718) 275-6010 Map

Mailing address

46 Lincoln Pl
Massapequa, NY 11758-7036

Other practice locations

  • 225 Broadhollow Rd, Melville, NY 11747-4822 · (631) 385-7780

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1508393315

Tyisha Gaskin's National Provider Identifier is 1508393315, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Jun 19, 2020.