Tiffany J Small
Tiffany J Small is a Student in an Organized Health Care Education/Training Program in Deer Park, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
186 Tell AveDeer Park, NY 11729-6933
Phone: (917) 826-6290
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1083305221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2023 |
| Last updated in NPPES | May 18, 2023 |
| Certification date | May 18, 2023 |
| Mailing address | 186 Tell Ave, Deer Park, NY 11729-6933 |
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