MARY GWYNNE TILLOTSON


Address: 82 Oxford Ave, Buffalo, NY 14209-1406
Phone: 7169069770

MARY GWYNNE TILLOTSON (NPI# 1780284869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780284869
Entity Type Individual
Full Name MARY GWYNNE TILLOTSON
Other Name MARY COHILL
Credential PMHNP
Practice Address 82 Oxford Ave
Buffalo
NY 14209-1406
Practice Telephone 7169069770
Mailing Telephone 7169069770
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403249 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 82 OXFORD AVE
City BUFFALO
State NY
Zip Code 14209-1406

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053924522 Graham Joshua Anderson Peer Specialist 64 Linwood Ave., Buffalo, NY 14209 2020-08-25
1881101954 Western New York Integrated Care Collaborative, Inc. Dietitian, Registered 742 Delaware Avenue, Buffalo, NY 14209 2018-01-10
1679021158 Dawn Harrison Nurse Practitioner 935 Delaware Ave., Suite 300, Buffalo, NY 14209 2016-09-14
1194272799 Joseph Michael Dellavalle Physical Therapist 969 Ellicott Street, Buffalo, NY 14209 2016-09-01
1205280245 Upasana Kochhar Family Medicine 1091 Main Street, 301, Williamsville, NY 14209 2016-04-15
1699177485 Emily Catherine Gorman Dietitian, Registered 1084 Delaware Ave, Buffalo, NY 14209 2014-09-23
1003166091 Kaleida Health General Acute Care Hospital 1045 W. Delavan Ave, Buffalo, NY 14209 2012-09-17
1871885798 Oncomed The Oncology Pharmacy of Buffalo Ny LLC Pharmacy 1100 Main St Ste 100, Buffalo, NY 14209 2011-05-11
1740583723 Aryan Wahab Student in an Organized Health Care Education/Training Program 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 2010-12-13
1841500873 Nicole Curtin Chiropractor 1275 Main St, Suite 110, Buffalo, NY 14209 2010-10-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376140277 Megan Elizabeth Bhatti Nurse Practitioner 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 2020-10-04
1578176160 Rachelle Camelle De La Cruz Nurse Practitioner 255 Delaware Ave Ste 400, Buffalo, NY 14202-2016 2020-08-25
1265054894 James E Koch Nurse Practitioner 701 Seneca St Ste 416, Buffalo, NY 14210-1351 2020-05-18
1881078004 Pamela Anne Almeter Nurse Practitioner 462 Grider St Rm 1168, Buffalo, NY 14215-3021 2015-07-17
1326421702 Shirley Frieh Nurse Practitioner University At Buffalo Counseling Services, 120 Richmond Quad, Buffalo, NY 14261-0001 2015-07-03
1407146558 Natasha C Pearson Nurse Practitioner 325 Cornwall Ave, Buffalo, NY 14215-3101 2011-04-11
1831419001 Suzanne Marie Miller Nurse Practitioner 652 Delaware Ave, Suite 204, Buffalo, NY 14202 2010-06-10
1073163531 Ehs, Inc. Nurse Practitioner 206 S Elmwood Ave, Buffalo, NY 14201-2398 2019-09-17
1013569979 Alyssa Christine Weissinger Nurse Practitioner 1050 Niagara St, Buffalo, NY 14213-2001 2019-07-11
1356815468 Hallie Guenther Nurse Practitioner 625 Delaware Ave Ste 204, Buffalo, NY 14202-1007 2019-01-11
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Competitor

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City BUFFALO
Zip Code 14209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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