Tilliman, Damien
Tilliman, Damien is an individual health care provider with primary practice located at 4332 22Nd St Ste 203 , Long Island City NY 11101-5077. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tilliman, Damien can be contacted via phone (585) 750-0091.Contact Information
Primary practice address
4332 22Nd St Ste 203
Long Island City NY 11101-5077
Phone: (585) 750-0091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 022266 | New York |
Profile Details
| NPI number | 1588205272 |
|---|---|
| LBN Legal business name | Tilliman, Damien |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 2019 - about 5 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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