Individual
DAMIEN TILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101-5077
(585) 750-0091
Mailing address
4332 22ND ST STE 203, LONG ISLAND CITY, NY 11101-5077
(585) 750-0091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022266
NY
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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