Individual
TIFFANY CABECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
32 W 3RD ST, FREEPORT, NY 11520-5729
(718) 791-3016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
690808
NY
Other
Enumeration date
04/07/2022
Last updated
09/01/2024
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