Individual
THOMAS LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
127 S BROADWAY, ST. JOSEPHS MEDICAL CENTER, YONKERS, NY 10701-4006
(914) 378-7000
(845) 790-2675
Mailing address
2 CATHARINE ST, P.O. BOX 550, POUGHKEEPSIE, NY 12601-3100
(866) 868-8417
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
432918-1
NY
Other
Enumeration date
10/12/2006
Last updated
05/24/2017
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