Individual
TIFFANY ROSE SALVATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(585) 208-3717
Mailing address
3151 DAANSEN RD, WALWORTH, NY 14568-9328
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019772-1
NY
Other
Enumeration date
07/14/2016
Last updated
10/02/2018
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