Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tianyu She, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164005781

Tianyu She, DO is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164005781
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 2, 2021
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address222 Station Plz N Ste 509, Mineola, NY 11501-3893

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