Urbina, Tiffany Marie
Urbina, Tiffany Marie is an individual health care provider with primary practice located at 197 Half Hollow Rd , Dix Hills NY 11746-5859. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Urbina, Tiffany Marie can be contacted via phone (631) 370-1700.Contact Information
Primary practice address
197 Half Hollow Rd
Dix Hills NY 11746-5859
Phone: (631) 370-1700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 753936 | New York |
Profile Details
NPI number | 1417678830 |
---|---|
LBN Legal business name | Urbina, Tiffany Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 5th, 2022 |
Last updated | Sep 5th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417678830 | NPPES |
New York | Other | 741232239 | DRIVERS LICENSE |
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