Individual
TIFFANY ONICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 60TH ST, WEST NEW YORK, NJ 07093-2211
(201) 770-9995
Mailing address
1009 NORA DR FL 1, LINDEN, NJ 07036-1708
(347) 589-2615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01340800
NJ
363LA2200X
Adult Health Nurse Practitioner
F310563-01
NY
Other
Enumeration date
07/01/2022
Last updated
10/03/2022
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