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Individual

CASEY E TILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP NURSE ANESTHESIA

Contact information

Practice address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 503-1400
Mailing address
3812 CHRISTOPHER DR, EAST ISLIP, NY 11730-1474
(347) 843-5118

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
735812
NY

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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