Individual provider · Type 1 NPI

Tiffany J. Small

Student in an Organized Health Care Education/Training Program · Deer Park, NY

NPI number 1083305221 Active

Practice location

186 Tell Ave
Deer Park, NY 11729-6933

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1083305221

Tiffany J. Small's National Provider Identifier is 1083305221, issued on May 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deer Park, NY. The record was last updated on May 18, 2023.