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Individual

TONYA GILLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
555 BERGEN AVE FL 4, BRONX, NY 10455-1368
(718) 742-5534
Mailing address
101 HIGHLAND AVE APT 3S, YONKERS, NY 10705-1272

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
228252
NY

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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