Individual
ADRIANNE SUZANNE THILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 WASHINGTON DR, MASTIC BEACH, NY 11951-3115
(631) 394-1937
Mailing address
222 WASHINGTON DR, MASTIC BEACH, NY 11951-3115
(631) 394-1937
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
1084665161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
02/19/2021
Last updated
02/19/2021
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