Individual
TIFFANY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(845) 495-3658
Mailing address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009856
NY
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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