Individual
CHANA TILIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5137 OCEAN VIEW AVE, BROOKLYN, NY 11224-1115
(646) 709-1551
Mailing address
5137 OCEAN VIEW AVE, BROOKLYN, NY 11224-1115
(646) 709-1551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015378
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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