Individual
TIFFANY NAGASAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
296 ELIZABETH ST APT 3F, NEW YORK, NY 10012-3591
(516) 253-0075
Mailing address
296 ELIZABETH ST APT 3F, NEW YORK, NY 10012-3591
(516) 253-0075
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405976
NY
Other
Enumeration date
11/04/2022
Last updated
01/02/2025
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