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General NPI Number Information
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NPI Number | 1851512362
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Entity Type | Individual
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Provider Name | TIRZA SUZANNE SANTILLI NP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 487 S BROADWAY # 220 C/O WJCS
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City | YONKERS
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State | NY
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Zip | 10705-3269
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Country | US
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Telephone | 914-423-4433
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Fax | 914-423-9434
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Provider Business Mailing Address
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Address Line | 229 MILL RIVER ROAD
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City | CHAPPAQUA
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State | NY
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Zip | 10514
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Country | US
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Telephone | 914-238-8585
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F400797
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License Number State | NY
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