Tyson, Shelome

Tyson, Shelome is an sole proprietor health care provider with primary practice located at 8900 Van Wyck Expy , Richmond Hill NY 11418-2897. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tyson, Shelome can be contacted via phone (718) 206-6000.

Contact Information

Primary practice address
8900 Van Wyck Expy Richmond Hill NY 11418-2897
Phone: (718) 206-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 654160 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F347436-01 New York

Profile Details

NPI number 1912241886
LBN Legal business name Tyson, Shelome
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2012
Last updated Oct 8th, 2021 - about 3 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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