Individual
TIFFANY MALONZO CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
180 BROOME ST APT 1214, NEW YORK, NY 10002-5754
(408) 667-8322
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0215823
NY
Other
Enumeration date
10/08/2018
Last updated
11/24/2021
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