Individual
TIFFANY LOUISE DE SADIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
520 E 68TH ST, STARR 3, NEW YORK, NY 10065-6302
(646) 962-2064
Mailing address
520 E 68TH ST, STARR 3, NEW YORK, NY 10065-6302
(646) 962-2064
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430673-1
NY
Other
Enumeration date
12/11/2012
Last updated
02/10/2014
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