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NPI Code Detail

MEDICARE: TIFFANY ARENA

MEDICARE: TIFFANY ARENA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner312509NY

General Provider Information

NPI Number : 1710834437
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY ARENA
Provider Business Mailing Address
First Line : 61 RUDDER DR
Second Line :
City : HOLTSVILLE
State : NY
Zip : 11742-2211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 347-798-9213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ TIFFANY ARENA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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