Lookup NPI Numbers from the NPI Registry
NPI Profile for MALY TIEV in BETHPAGE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI # | 1508147398 |
|
| Status | Active | |
| Credentials | ANP (Adult Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/07/2011 | |
| Last updated | 01/18/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MALY TIEV
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MALY TIEV, ANP