Individual
TIFFANY YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(917) 574-1001
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5919
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383150
NY
Other
Enumeration date
09/02/2020
Last updated
07/07/2022
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