# TIFFANY SMITH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740999713
- **Authorized official:** TIFFANY O SMITH (OWNER)
- **Authorized official phone:** (347) 589-2615

## Contact information

- **Practice address:** 1009 NORA DR, LINDEN, NJ 07036-1708
- **Practice address phone:** (347) 589-2615
- **Mailing address:** 1009 NORA DR, LINDEN, NJ 07036-1708
- **Mailing address phone:** (347) 589-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0600X | Gerontology Registered Nurse | — | NULL | Yes |
| 163WG0600X | Gerontology Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 11/18/2022