Individual
TIFFANY BURRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1727 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 804-0769
Mailing address
44 W GREENTREE DR, MEDFORD, NY 11763-1690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406368
NY
Other
Enumeration date
04/25/2025
Last updated
12/18/2025
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