Individual provider · Type 1 NPI

Tishawnie Gravesandy, DO

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

NPI number 1932969367 Active

Practice location

664 Stoneleigh Ave Ste 301
Carmel, NY 10512-3990

Call (845) 790-1321 Map

Specialties and licenses

TaxonomyCodeLicense
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.

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About NPI 1932969367

Tishawnie Gravesandy, DO's National Provider Identifier is 1932969367, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Carmel, NY. The record was last updated on May 17, 2024.