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NPI Code Detail

MEDICARE: TIFFANY O ESPINO

MEDICARE: TIFFANY O ESPINO
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
1101YS0200XSchool Counselor1511046211NY
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1902571565
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY O ESPINO
Provider Business Mailing Address
First Line : 165 NAGLE AVE APT 54
Second Line :
City : NEW YORK
State : NY
Zip : 10040-1415
Country : US
Telephone Number : 917-593-8547
Fax Number :
Provider Business Practice Location Address
First Line : 2302 AVENUE U UNIT 290147
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-7504
Country : US
Telephone Number : 347-708-0777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2021
Last Update Date : 03/17/2025

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Directions to “ TIFFANY O ESPINO ” Practice Location

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