Individual
TIFFANY MICHELE HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5621
Mailing address
3450 WAYNE AVE, APT. 25H, BRONX, NY 10467-2510
(718) 944-7196
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
241254
NY
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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