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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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