Individual
TIFFANY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 POST LN, STATEN ISLAND, NY 10303-2031
(347) 225-1478
Mailing address
38 POST LN, STATEN ISLAND, NY 10303-2031
(347) 225-1478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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