Individual
TIFFANY REDWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13025 FRANCIS LEWIS BLVD, LAURELTON, NY 11413-1842
(347) 612-1608
Mailing address
13025 FRANCIS LEWIS BLVD, LAURELTON, NY 11413-1842
(347) 612-1608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
356208
NY
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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