Organization
ELEMENT FAMILY HEALTH NP PLLC
Active
Other names
Element Family Health NP PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY R BACCHUS FNP-BC (CLINICIAN /CEO)
(646) 320-8037
Entity
Organization
Contact information
Practice address
181 HAWTHORNE ST APT 1F, BROOKLYN, NY 11225-5833
(646) 320-8037
Mailing address
11906 224TH ST, CAMBRIA HEIGHTS, NY 11411-2112
(646) 320-8037
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
03/08/2025
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