Grant, Tiffany S
Grant, Tiffany S is an sole proprietor health care provider with primary practice located at 79 Middleville Rd , Northport NY 11768-2200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grant, Tiffany S can be contacted via phone (631) 707-6507.Contact Information
Primary practice address
79 Middleville Rd
Northport NY 11768-2200
Phone: (631) 707-6507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 075989-1 | New York |
Profile Details
| NPI number | 1114107455 |
|---|---|
| LBN Legal business name | Grant, Tiffany S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2007 |
| Last updated | Jun 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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