Tantillo, Gabrielle

Tantillo, Gabrielle is an sole proprietor health care provider with primary practice located at 123 Metro Blvd , Nutley NJ 07110-6101. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Tantillo, Gabrielle can be contacted via phone (973) 761-9000.

Contact Information

Primary practice address
123 Metro Blvd Nutley NJ 07110-6101
Phone: (973) 761-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1437803186
LBN Legal business name Tantillo, Gabrielle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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