Individual
TIFFANI DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BUELL RD, ROCHESTER, NY 14624-3134
(585) 764-3466
Mailing address
200 BUELL RD, ROCHESTER, NY 14624-3134
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
22DE1287734
NY
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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