Individual
TIFFANY LEIGH TALBUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 RIVERSIDE DR STE 210, BINGHAMTON, NY 13905-4178
(607) 770-1155
Mailing address
617 TORRANCE AVE, VESTAL, NY 13850-1336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F343270
NY
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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