Tully, Jean Margaret

Tully, Jean Margaret is an individual health care provider with primary practice located at 1 Stadium Dr Student Health Service, Stony Brook NY 11794-3191. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tully, Jean Margaret can be contacted via phone (631) 632-6740.

Contact Information

Primary practice address
1 Stadium Dr Student Health Service Stony Brook NY 11794-3191
Phone: (631) 632-6740
Fax: (631) 632-6936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005514-1 New York

Profile Details

NPI number 1336205095
LBN Legal business name Tully, Jean Margaret
Credentials R.P.A.-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 8th, 2014 - about 10 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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