MEDICARE: TULIE GAY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F332702-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033116728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TULIE GAY FNP

Provider Business Mailing Address
First Line	:	85 HAMLET RD
Second Line	:
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-4103
Country	:	US
Telephone Number	:	516-735-6784
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 MADISON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-1509
Country	:	US
Telephone Number	:	718-636-7500
Fax Number	:	718-636-0513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/07/2023

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