Medina, Tiffany

Medina, Tiffany is an individual health care provider with primary practice located at 2017 124Th St , College Point NY 11356-2217. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Medina, Tiffany can be contacted via phone (917) 553-8979.

Contact Information

Primary practice address
2017 124Th St College Point NY 11356-2217
Phone: (917) 553-8979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1174063689
LBN Legal business name Medina, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2017
Last updated Mar 2nd, 2017 - about 8 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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