Edison Tyli, NP
Edison Tyli, NP is a Nurse Practitioner in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2020
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
375 Seguine AveStaten Island, NY 10309-3932
Phone: (718) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 431757 (NY) |
|---|
Record details
| NPI number | 1558989137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | July 9, 2020 |
| Last updated in NPPES | July 9, 2020 |
| Certification date | July 9, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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