Tilley, Charles Patrick

Tilley, Charles Patrick is an sole proprietor health care provider with primary practice located at 1250 Broadway 7Th Floor, New York NY 10001-3701. He recently has only one registered license in Nursing & Custodial Care Facilities / Hospice, Inpatient, which is considered as his primary health care specialty. Tilley, Charles Patrick can be contacted via phone (917) 763-8716.

Contact Information

Primary practice address
1250 Broadway 7Th Floor New York NY 10001-3701
Phone: (917) 763-8716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X 305286 New York

Profile Details

NPI number 1023346186
LBN Legal business name Tilley, Charles Patrick
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2009
Last updated Feb 19th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023346186 NPPES
New York MEDICAID 03487405

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