Individual
TIFFANY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 818-7000
Mailing address
18 CARNEGIE AVE, STATEN ISLAND, NY 10314-3820
(917) 862-3144
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
407177
NY
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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