Individual provider · Type 1 NPI

Amanda L. Tulley, PA

Medical Physician Assistant · New York, NY

NPI number 1730595992 Active

Practice location

177 Fort Washington Ave
New York, NY 10032-3733

Mailing address

14 Furwood Dr
East Northport, NY 11731-3113

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1730595992

Amanda L. Tulley, PA's National Provider Identifier is 1730595992, issued on Jul 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2014.