Individual
TIFFANY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
147 W 145TH ST, NEW YORK, NY 10039-4204
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382578
NY
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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