Provider Demographics
NPI:1962220830
Name:SILVIA P TUTHILL NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity type:Organization
Organization Name:SILVIA P TUTHILL NURSE PRACTITIONER IN ADULT HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR IN NURSING PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:TUTHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-261-1425
Mailing Address - Street 1:184 LARKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-1868
Mailing Address - Country:US
Mailing Address - Phone:631-261-1425
Mailing Address - Fax:
Practice Address - Street 1:184 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-1868
Practice Address - Country:US
Practice Address - Phone:631-261-1425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care