Individual
ELENA TIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
68 PINE ST, GARDEN CITY, NY 11530-6319
(516) 967-9760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2677959
NY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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