Tyli, Edison

Tyli, Edison is an individual health care provider with primary practice located at 375 Seguine Ave , Staten Island NY 10309-3932. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Tyli, Edison can be contacted via phone (718) 226-2000.

Contact Information

Primary practice address
375 Seguine Ave Staten Island NY 10309-3932
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 431757 New York

Profile Details

NPI number 1558989137
LBN Legal business name Tyli, Edison
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jul 9th, 2020 - 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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