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

Tishawnie Gravesandy, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932969367

Tishawnie Gravesandy, DO is a Student in an Organized Health Care Education/Training Program in Carmel, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

664 Stoneleigh Ave Ste 301
Carmel, NY 10512-3990
Phone: (845) 790-1321
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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 number1932969367
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 21, 2024
Last updated in NPPESMay 17, 2024
Certification dateMarch 21, 2024
Mailing address664 Stoneleigh Ave Ste 301, Carmel, NY 10512-3990

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