National Provider Identifier
Gloria R Tilley
Gloria R Tilley is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Lackawanna, NY and a listed phone number of (716) 822-4781.
Profile Overview
- NPI
- 1194087072
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- June 15, 2012
- Last Updated
- June 15, 2012
Practice Location
- 697 Ridge RD
- Lackawanna, NY 14218-1500
Phone: (716) 822-4781
Mailing Address
- 5783 Dover RD
- Lake View, NY 14085-9700
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1194087072
- Entity Type
- Individual
- Last Name
- Tilley
- First Name
- Gloria
- Middle Name
- R
- Name Prefix
- Mrs.
- Mailing Street Address
- 5783 Dover RD
- Mailing City
- Lake View
- Mailing State
- NY
- Mailing ZIP Code
- 14085-9700
- Mailing Country
- US
- Mailing Phone
- (716) 627-2289
- Practice Street Address
- 697 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1500
- Practice Country
- US
- Practice Phone
- (716) 822-4781
- Enumeration Date
- June 15, 2012
- Last Updated
- June 15, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)