Individual
TIFFANI GURCHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICHOLLS ROAD, STONY BROOK, NY 11794
(631) 355-9138
Mailing address
HEALTH SCIENCES CENTER T1-020, STONY BROOK, NY 11794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
727685
NY
363L00000X
Nurse Practitioner
Primary
F348520-01
NY
Other
Enumeration date
03/20/2017
Last updated
02/01/2022
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