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NPI Code Detail

MEDICARE: TYREE BROWNING MFT-LP

MEDICARE: TYREE BROWNING MFT-LP
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
1106H00000XMarriage & Family TherapistP126231NY

General Provider Information

NPI Number : 1770334963
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYREE BROWNING MFT-LP
Provider Business Mailing Address
First Line : 165 VROOM ST APT 5A
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4595
Country : US
Telephone Number : 929-888-1905
Fax Number :
Provider Business Practice Location Address
First Line : 1990 LEXINGTON AVE APT 26E
Second Line :
City : NEW YORK
State : NY
Zip : 10035-2918
Country : US
Telephone Number : 917-740-9574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 03/27/2024

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