Provider Demographics
NPI:1033116728
Name:GAY, TULIE (FNP)
Entity Type:Individual
Prefix:
First Name:TULIE
Middle Name:
Last Name:GAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 HAMLET RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4103
Mailing Address - Country:US
Mailing Address - Phone:516-735-6784
Mailing Address - Fax:
Practice Address - Street 1:300 MADISON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1509
Practice Address - Country:US
Practice Address - Phone:718-636-7500
Practice Address - Fax:718-636-0513
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332702-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02099061Medicaid
NYMG0519009OtherDEA
NY94N361Medicare ID - Type Unspecified