Individual
KRISTY TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
201 SOUTH AVE, SUITE 203, POUGHKEEPSIE, NY 12601-4812
(845) 471-3490
(845) 454-3004
Mailing address
201 SOUTH AVE, SUITE 203, POUGHKEEPSIE, NY 12601-4812
(845) 471-3490
(845) 454-3004
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002118-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002118-1
AUDIOLOGIST LICENSE
NY
Enumeration date
11/06/2006
Last updated
05/10/2016
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