National Provider Identifier

Daisana Tillie

Daisana Tillie is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 352-7775.

NPI 1811572084Rochester, NYCase Manager/Care Coordinator

Profile Overview

NPI
1811572084
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
March 10, 2021
Last Updated
March 10, 2021

Practice Location

  • 50 Vantage Point Dr
  • Rochester, NY 14624-1180

Phone: (585) 352-7775

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1811572084
Entity Type
Individual
Last Name
Tillie
First Name
Daisana
Mailing Street Address
50 Vantage Point Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1180
Mailing Country
US
Mailing Phone
(585) 352-7775
Practice Street Address
50 Vantage Point Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1180
Practice Country
US
Practice Phone
(585) 352-7775
Enumeration Date
March 10, 2021
Last Updated
March 10, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
March 10, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)