Tantillo, Meshelle K
Tantillo, Meshelle K is an individual health care provider with primary practice located at 1150 University Ave Suite 7, Rochester NY 14607-1647. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tantillo, Meshelle K can be contacted via phone (585) 442-8422.Contact Information
Primary practice address
1150 University Ave Suite 7
Rochester NY 14607-1647
Phone: (585) 442-8422
Fax: (585) 442-8494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 19201 | New York |
Profile Details
| NPI number | 1457515264 |
|---|---|
| LBN Legal business name | Tantillo, Meshelle K |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2008 |
| Last updated | Jul 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457515264 | NPPES |
| New York | MEDICAID | 01420800 |
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