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NPI Code Detail

MEDICARE: DR. TIFFANY A. CUMMINS M.D.

MEDICARE:  DR. TIFFANY A. CUMMINS  M.D.
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
12084P0800XPsychiatry Physician60230636NY
22084P0800XPsychiatry Physician25MA10157900NJ
32084P0800XPsychiatry Physician230636NY

General Provider Information

NPI Number : 1174556914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY A. CUMMINS M.D.
Provider Business Mailing Address
First Line : 2976 NORTHERN BLVD
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-2822
Country : US
Telephone Number : 212-691-7554
Fax Number :
Provider Business Practice Location Address
First Line : 2976 NORTHERN BLVD
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-2822
Country : US
Telephone Number : 212-691-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 05/17/2023

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Directions to “ DR. TIFFANY A. CUMMINS M.D.” Practice Location

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