Active NPIIndividual provider

Marc O Tiller, MD

Specialist in Warwick, New York

NPI Number1477880664
Practice location
15 Maple Ave, Warwick, NY 10990-1028
Fax
845-615-1590
Last updated
November 9, 2009

Marc O Tiller is a Specialist based in Warwick, NY. Marc O Tiller practices in Warwick, NY and has the professional credentials of MD. The NPI Number for Marc O Tiller is 1477880664 and holds a License No. 2050577-1 (NY). The current practice location address for Marc O Tiller is 15 Maple Ave, Warwick, NY 10990-1028 and can be reached out via phone at 845-294-2006 and via fax at 845-615-1590.

Provider Profile Details

NPI Number
1477880664
Provider Name
Marc O Tiller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Maple Ave, Warwick, NY 10990-1028
Phone Number
845-294-2006
Fax Number
845-615-1590
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2009
Last Update Date
November 9, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Maple Ave
Warwick, NY 10990-1028
Zip
10990-1028
Phone Number
845-294-2006
Fax Number
845-615-1590
Warwick, NY 10990Get directions →

Provider Business Mailing Address Details

Address
Po Box 875
Warwick, NY 10990-0875
City
Warwick
State
NY
Zip
10990-0875
Phone Number
845-294-2006
Fax Number
845-615-1590

License Information

License Number
2050577-1
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marc O Tiller, MD?

The NPI number of Marc O Tiller, MD is 1477880664. It was assigned on November 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Marc O Tiller, MD?

Marc O Tiller, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 2050577-1.

Where does Marc O Tiller, MD practice?

The practice location is 15 Maple Ave, Warwick, NY 10990-1028. The office can be reached at 845-294-2006 (phone) or 845-615-1590 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477880664 directly on the NPPES registry website.

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