Individual
STANLEY TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1664 E 14TH ST FL 5, BROOKLYN, NY 11229-1155
(929) 273-7601
Mailing address
869 FLUSHING AVE APT 20J, BROOKLYN, NY 11206-4202
(718) 913-8478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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