Organization
IVY TILSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY W TILSON OTR/L (DIRECTOR)
(914) 777-1023
Entity
Organization
Contact information
Practice address
655 N BARRY AVE, MAMARONECK, NY 10543-1608
(914) 777-1023
(914) 777-1024
Mailing address
655 N BARRY AVE, MAMARONECK, NY 10543-1608
(914) 777-1023
(914) 777-1024
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0098021
NY
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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