Most Relevant Information
Provider Data
| NPI Number: | 1003506478 |
| Provider Name: | TIERNEY MAGILL BEHLES |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
111 E 210TH ST
BRONX
NY
104672401
Practice Location Phone/Fax
| Phone: | 7189204321 |
| Fax: |
Provider Mailing Location
336 CANAL ST APT 6W
NEW YORK
NY
100132589
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |