Petty Tineo is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Petty Tineo NPI is 1386225712. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3959 BROADWAY
NEW YORK, NY
ZIP 10032-559
Phone: (551) 795-2266
The enumeration date for this NPI number is 4/17/2021 and was last updated on 7/22/2022.