Individual
MRS. TIFFANY MARIE OSTROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1005 SCOTT TOWN CTR # 1012, BLOOMSBURG, PA 17815-2356
(570) 317-2999
Mailing address
3506 STONEGATE DR, CENTER VALLEY, PA 18034-8120
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078923
BOARD CERTIFICATION (NCCPA)#
PA
01
—
MA053264
STATE LICENSE#
PA
Enumeration date
06/02/2008
Last updated
07/21/2025
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