Provider Demographics
NPI:1710235635
Name:TIGHE, MICHAEL J (MS)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:TIGHE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PURCELL STREET
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310
Mailing Address - Country:US
Mailing Address - Phone:718-273-3365
Mailing Address - Fax:718-816-7266
Practice Address - Street 1:400 LAKE AVENUE
Practice Address - Street 2:VISITING NURSE ASSOCIATION
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303
Practice Address - Country:US
Practice Address - Phone:718-816-3434
Practice Address - Fax:718-816-3534
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist