Tiffany Cooper

NPI # 

Practice Address:

99 Orienta Ave

Lake Grove, NY, 11755-2517

Practice Phone:

631-681-5192

License Number:

22 686754

License State:

NY

Taxonomy Grouping:

Nursing Service Providers

Taxonomy Classification:

Registered Nurse

Taxonomy Code:

163W00000X

Updated by NPPES on 9/12/2016. You can view the original data set for NPI # 1215485941 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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