Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abigail Tillman, MD

Individual provider Family Medicine Physician · NPI 1326488347

Abigail Tillman, MD is a Family Practice in Fayetteville, New York. Qualified in 2013, 13 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group and offers telehealth. Licensed in Connecticut, Louisiana and New York.

Years since qualifying
13
Licensed in
CT, LA, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4000 Medical Center Dr Ste 101DE
Fayetteville, NY 13066-6600
Phone: (315) 637-7878
Fax: (315) 637-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 305958 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 312752 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 56540 (CT)

Record details

NPI number1326488347
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2013
Last updated in NPPESJune 1, 2023
Certification dateMay 23, 2023
Mailing address301 Prospect Ave, Syracuse, NY 13203-1807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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