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Individual

TINA JAFFARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 962-4328

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1157837
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
670228
NY

Other

Enumeration date
12/23/2018
Last updated
02/05/2025
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