Individual
TIFFANY BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012365
NY
363AS0400X
Surgical Physician Assistant
Primary
012345
NY
Other
Enumeration date
02/13/2008
Last updated
01/06/2010
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