Organization
TLT
Active
Organization
TLT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILLAN ASH (CEO)
(347) 270-8183
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(347) 270-8183
Mailing address
270 W 123RD ST APT 5B, NEW YORK, NY 10027-8112
(347) 270-8183
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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