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Individual

MS. TIFFANY NORA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CM

Contact information

Practice address
260 E 67TH ST STE B, NEW YORK, NY 10065-6212
(212) 629-2000
Mailing address
2508 40TH AVE APT 3D, LONG ISLAND CITY, NY 11101-3880
(917) 698-3792

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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