Individual
TIFFANY HAMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2426
Mailing address
3 SUNNY RIDGE RD, SPRING VALLEY, NY 10977-2214
(845) 300-3684
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382595-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
620622
NY
Other
Enumeration date
07/22/2014
Last updated
07/18/2019
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