Individual
TIFFANY COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(214) 636-9334
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.494718
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
146885
NY
Other
Enumeration date
07/31/2023
Last updated
10/14/2024
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