Individual
TIFFANY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N FL 5, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
105 RUSSELL AVE, EDGEWATER, NJ 07020-3110
(347) 221-6381
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
651195
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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