Individual
DINA SOPHIA TILVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5983
Mailing address
1530 COUNTY ROUTE 1, WESTTOWN, NY 10998-4206
(845) 683-1179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430304
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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