Tillotson, Mary Gwynne

Tillotson, Mary Gwynne is an sole proprietor health care provider with primary practice located at 621 10Th St , Niagara Falls NY 14301-1813. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tillotson, Mary Gwynne can be contacted via phone (716) 278-4541.

Contact Information

Primary practice address
621 10Th St Niagara Falls NY 14301-1813
Phone: (716) 278-4541
Fax: (716) 278-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403249 New York

Profile Details

NPI number 1780284869
LBN Legal business name Tillotson, Mary Gwynne
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2020
Last updated Jan 20th, 2022 - about 2 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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