Individual
TIFFANY WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9711 87TH ST, OZONE PARK, NY 11416-2104
(347) 854-3430
Mailing address
9711 87TH ST, OZONE PARK, NY 11416-2104
(347) 854-3430
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/21/2014
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