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

Tishana Nelson

Individual provider Specialist · NPI 1699174367

Tishana Nelson is a Specialist in East Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

2744 Ericsson St
East Elmhurst, NY 11369-1942
Phone: (917) 335-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1125802 (NY)

Record details

NPI number1699174367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2014
Last updated in NPPESAugust 19, 2014

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