Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Crystal Altidor

Individual provider Case Manager/Care Coordinator · NPI 1679281174

Tiffany Crystal Altidor is a Case Manager/Care Coordinator in Roosevelt, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

59 Gormley Ave
Roosevelt, NY 11575-2416
Phone: (516) 884-5998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1679281174
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address59 Gormley Ave, Roosevelt, NY 11575-2416

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