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

Individual provider Speech-Language Pathologist · NPI 1760141238

Tiffany Phan is a Speech-Language Pathologist in Queens, New York. Licensed in Massachusetts and New York. Registered with an NPI since 2021.

Licensed in
MA, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

79-01 Broadway
Queens, NY 11373
Phone: (718) 334-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 030705 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 9484 (MA)

Record details

NPI number1760141238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address314 4th St Apt 5, Jersey City, NJ 07302-2344

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