Tamoiya Mullgrav

Key facts

NPI

1497074280

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

624788 (NY)

Practice address

13502 Foch Blvd
South Ozone Park, NY 11420-2228

Phone

(718) 659-1275

NPI assigned

May 19, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2010.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1497074280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13502 FOCH BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202228",
            "telephone_number": "718-659-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13502 FOCH BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202228",
            "telephone_number": "718-659-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLGRAV",
        "first_name": "TAMOIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "624788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

• Naresh Mooklall
• Hadiya Morris
• Nicolae Mosu
• Motherbaby Wellness Center
• Ekaterina Muller
• Cheyenne Samantha Myers
• Rayna Naraine
• New Horizon Counseling Center Inc
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• New York Mental Health Counseling Services LLC

All providers in South Ozone Park, NY · Registered Nurse in New York