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MR. CHARLES PATRICK TILLEY NP

Hospice, Inpatient

New York, New York

Provider NPI: 1023346186

Provider Information:
MR. CHARLES PATRICK TILLEY NP


Practice Location:
1250 BROADWAY 7TH FLOOR NEW YORK, NY 10001 US
Tel: 917-763-8716  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
NY305286

Other Provider Identifiers:

IssuerNumberStateType
03487405NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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