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NPI Code Detail

MEDICARE: TELISHA MCLEAN

MEDICARE:   TELISHA  MCLEAN
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
1363LF0000XFamily Nurse Practitioner356344NY

General Provider Information

NPI Number : 1003359910
Entity Type Code : Individual
Provider Name (Legal Business Name) : TELISHA MCLEAN
Provider Business Mailing Address
First Line : 912 E 224TH ST
Second Line :
City : BRONX
State : NY
Zip : 10466-4634
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-4321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2016
Last Update Date : 02/05/2026

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Directions to “ TELISHA MCLEAN ” Practice Location

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