IndividualActive
Abigail Tillman, MD
NPI 1326488347 · Family Medicine Physician · Fayetteville, NY
Provider details
- NPI number
- 1326488347
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 312752 (LA)
Practice location
4000 Medical Center Dr Suite 101de
Fayetteville, NY 13066-6600
Phone: (315) 637-7878
Fax: (315) 637-7870
Mailing address
301 Prospect Ave
Syracuse, NY 13203-1807
Registry dates
- Enumerated
- 2013-07-05
- Last updated
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.