Tiffany Derue
Tiffany Derue is a Specialist in Newark, New York. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
848 Peirson AveNewark, NY 14513-9762
Phone: (315) 331-2086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1629331020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 20, 2012 |
| Last updated in NPPES | June 20, 2012 |
| Mailing address | 5748 Ridge Rd, Williamson, NY 14589-9717 |
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