Tishawnie Gravesandy, DO

NPI #1932969367 in Carmel, New York

Provider Information

NPI Number: 1932969367
Entity Type: Individual
Name: Tishawnie Gravesandy, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Mar 21, 2024
Last Updated: May 17, 2024

Practice Location

Address: 664 STONELEIGH AVE STE 301
City: Carmel
State: New York
ZIP Code: 10512-3990
Phone: (845) 790-1321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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