Individual provider · Type 1 NPI
Michael J. Tully, ANP
Adult Health Nurse Practitioner · East Setauket, NY
NPI number
1669754750
Active
Practice location
210 Belle Mead Rd
East Setauket, NY 11733-3522
Fax (631) 689-1595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305746-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669754750
Michael J. Tully, ANP's National Provider Identifier is 1669754750, issued on Sep 14, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on Sep 14, 2011.