Kelly, Tamisha

Kelly, Tamisha is an individual health care provider with primary practice located at 873 Balfour St , Valley Stream NY 11580-1524. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kelly, Tamisha can be contacted via phone (917) 449-7395.

Contact Information

Primary practice address
873 Balfour St Valley Stream NY 11580-1524
Phone: (917) 449-7395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 655257-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403636 New York

Profile Details

NPI number 1487073821
LBN Legal business name Kelly, Tamisha
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Nov 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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