# IVY TILSON INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487893731
- **Authorized official:** MS. IVY W TILSON OTR/L (DIRECTOR)
- **Authorized official phone:** (914) 777-1023

## Contact information

- **Practice address:** 655 N BARRY AVE, MAMARONECK, NY 10543-1608
- **Practice address phone:** (914) 777-1023
- **Practice address fax:** (914) 777-1024
- **Mailing address:** 655 N BARRY AVE, MAMARONECK, NY 10543-1608
- **Mailing address phone:** (914) 777-1023
- **Mailing address fax:** (914) 777-1024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 0098021 | NY | Yes |

## Other

- **Enumeration date:** 02/10/2009
- **Last updated:** 02/10/2009