Individual
MS. TIFFANY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
276 RANDALL AVE, ELMONT, NY 11003-3104
(917) 416-0149
Mailing address
276 RANDALL AVE, ELMONT, NY 11003-3104
(917) 416-0149
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406336
NY
Other
Enumeration date
11/01/2024
Last updated
12/02/2025
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