Individual
TIFFANY VICTORIA GAILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 24TH ST APT 2C, LONG ISLAND CITY, NY 11106-4415
(929) 789-4380
Mailing address
3536 24TH ST APT 2C, LONG ISLAND CITY, NY 11106-4415
(929) 789-4380
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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