Tilley, Jon Peter
Tilley, Jon Peter is an individual health care provider with primary practice located at 4422 3Rd Ave , Bronx NY 10457-2545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tilley, Jon Peter can be contacted via phone (718) 960-6162.Contact Information
Primary practice address
4422 3Rd Ave
Bronx NY 10457-2545
Phone: (718) 960-6162
Fax: (718) 960-3612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 00189905 | New York |
Profile Details
| NPI number | 1154327914 |
|---|---|
| LBN Legal business name | Tilley, Jon Peter |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154327914 | NPPES |
| New York | MEDICAID | 01351519 |
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