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Tiffany J Small
Student in an Organized Health Care Education/Training Program in Deer Park, New York
NPI 1083305221

Tiffany J Small is a Student in an Organized Health Care Education/Training Program based in Deer Park, NY. Tiffany J Small practices in Deer Park, NY. The NPI Number for Tiffany J Small is 1083305221 and holds a License No. (New York).

The current practice location address for Tiffany J Small is 186 Tell Ave, Deer Park, NY and can be reached out via phone at 917-826-6290.

Location: 186 Tell Ave, Deer Park, NY, 11729-6933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083305221
Provider Name
Tiffany J Small
Credential
Provider Entity Type
Individual
Gender
Female
Address
186 Tell Ave, Deer Park, NY, 11729-6933
Phone Number
917-826-6290
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
186 Tell Ave
City
Deer Park
State
New York
Zip
11729-6933
Phone Number
917-826-6290
Fax Number
person
Provider Business Mailing Address Details
Address
186 Tell Ave
City
Deer Park
State
New York
Zip
11729-6933
Phone Number
917-826-6290
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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