Healthcare Provider Details

I. General information

NPI: 1962328278
Provider Name (Legal Business Name): TIFFANY ANN NATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOLLOW LN STE 201A
NEW HYDE PARK NY
11042-1215
US

IV. Provider business mailing address

1 HOLLOW LN STE 201A
NEW HYDE PARK NY
11042-1215
US

V. Phone/Fax

Practice location:
  • Phone: 516-266-2339
  • Fax:
Mailing address:
  • Phone: 516-266-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF358923
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: