MEDICARE: ALLYSON TIERNEY

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	358819	NY

General Provider Information

NPI Number	:	1730024464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON TIERNEY

Provider Business Mailing Address
First Line	:	160 E 53RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-5243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 E 53RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-5243
Country	:	US
Telephone Number	:	347-798-9013
Fax Number	:

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

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ ALLYSON TIERNEY ” Practice Location

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