Individual
JAY F. TILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
109 PROSPECT PARK W, BROOKLYN, NY 11215-3711
(718) 499-5791
(718) 499-5791
Mailing address
109 PROSPECT PARK W, BROOKLYN, NY 11215-3711
(718) 499-5791
(718) 499-5791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010145
NY
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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