Jean Margaret Tully R.P.A.-C

NPI 1336205095 - Physician Assistant - 363A00000X

NPI Details
NPI 1336205095
Gender Female
Enumeration Date 12/28/2006
Last Updated 10/08/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1 STADIUM DR
STUDENT HEALTH SERVICE
STONY BROOK NY, 11794-3191, US
Phone (631) 632-6740
Fax (631) 632-6936
Business Location
1 STADIUM DR
STUDENT HEALTH SERVICE
STONY BROOK NY, 11794-3191, US
Phone (631) 632-6740
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 005514-1
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According to our database, Mrs. Jean Margaret Tully R.P.A.-C NPI is 1336205095, taxonomy code is 363A00000X and license number is 005514-1, license state is located at New York. Jean Margaret Tully R.P.A.-C physically located at 1 Stadium Dr, Stony Brook NY, 11794-3191. NPI Number Jean Margaret Tully R.P.A.-C has the Individual type.

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1336205095 NPI number is provided on an as is basis without warranty of any kind. 1336205095 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Margaret Tully R.P.A.-C are for informational purposes only.