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NPI Code Detail

MEDICARE: TIFFANY TELFORD MHC-LP

MEDICARE: TIFFANY TELFORD MHC-LP
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1528990041
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY TELFORD MHC-LP
Provider Business Mailing Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number : 917-704-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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