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TIFFANY L LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1220 NEW SCOTLAND RD, SUITE 103, SLINGERLANDS, NY 12159-9386
(518) 439-4326
(518) 439-6143
Mailing address
1220 NEW SCOTLAND RD, SUITE 103, SLINGERLANDS, NY 12159-9386
(518) 439-4326
(518) 439-6143

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.720
AL
363A00000X
Physician Assistant
PA9105810
FL
363AS0400X
Surgical Physician Assistant
Primary
015485
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003329700
FL
01
Y05Y3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/29/2010
Last updated
09/14/2016
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