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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYASIA DANIELLE MULLGRAV

Active Sole Proprietor

TYASIA DANIELLE MULLGRAV is a Emergency Nurse healthcare provider located in MANHASSET, New York. NPI 1598593717 is currently active in the NPPES registry. Verify at CMS.

Emergency Nurse · MANHASSET, NY

Registration Details

NPI Number
1598593717
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2024 (2.10792469632 yrs)
Last Updated
Jul 22, 2024
License
826499 (NY)
Sole Proprietor
Yes

Practice Information

Address
300 COMMUNITY DR
MANHASSET, NY, 110303816
Browse NY providers · Browse ZIP 11030
Phone
5165620100
Primary Specialty
Emergency Nurse
163WE0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.