Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew Thomas Tilatitsky, PHARMD

Individual provider Pharmacist · NPI 1073136065

Dr. Matthew Thomas Tilatitsky, PHARMD is a Pharmacist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

103 Sprague Ave
Staten Island, NY 10307-1931
Phone: (917) 797-6148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 066370 (NY)

Record details

NPI number1073136065
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESMay 25, 2020
Certification dateMay 25, 2020

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