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Dr. Jon Peter Tilley, DO
Diagnostic Radiology Physician in Bronx, New York
NPI 1154327914

Jon Peter Tilley is a Diagnostic Radiology Physician based in Port Washington, NY and is specialized in Diagnostic Radiology. Jon Peter Tilley practices in Bronx, NY and has the professional credentials of DO. The NPI Number for Jon Peter Tilley is 1154327914 and holds a License No. 00189905 (New York).

The current practice location address for Jon Peter Tilley is 4422 3Rd Ave, Bronx, NY and can be reached out via phone at 718-960-6162 and via fax at 718-960-3612.

Location: 4422 3Rd Ave, Bronx, NY, 11050-0631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154327914
Provider Name
Jon Peter Tilley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4422 3Rd Ave, Bronx, NY, 11050-0631
Phone Number
718-960-6162
Fax Number
718-960-3612
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01351519 05 NY
institution
Provider Business Practice Location Address Details
Address
4422 3Rd Ave
City
Bronx
State
New York
Zip
10457-2545
Phone Number
718-960-6162
Fax Number
718-960-3612
person
Provider Business Mailing Address Details
Address
4422 3Rd Ave
City
Bronx
State
New York
Zip
10457-2545
Phone Number
718-960-6162
Fax Number
718-960-3612
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
00189905 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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