Individual
TIFFANY TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 PALMETTO ST, BROOKLYN, NY 11237-5902
(646) 610-3917
Mailing address
328 PALMETTO ST, BROOKLYN, NY 11237-5902
(646) 610-3917
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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