Tillmon, Bernadette Renee
Tillmon, Bernadette Renee is an individual health care provider with primary practice located at 600 Westage Business Ctr Dr , Fishkill NY 12524-2281. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tillmon, Bernadette Renee can be contacted via phone (845) 231-5600.Contact Information
Primary practice address
600 Westage Business Ctr Dr
Fishkill NY 12524-2281
Phone: (845) 231-5600
Fax: (845) 231-5489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 187529 | New York |
Profile Details
| NPI number | 1326148065 |
|---|---|
| LBN Legal business name | Tillmon, Bernadette Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Nov 23rd, 2016 - about 8 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 | 1326148065 | NPPES |
| New York | MEDICAID | 01415416 |
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