Tiffany Cooper
NPI #1215485941 in Lake Grove, New York
Provider Information
- NPI Number
- 1215485941
- Entity Type
- Individual
- Name
- Tiffany Cooper
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Sep 12, 2016
- Last Updated
- Sep 12, 2016
Practice Location
- Address
- 99 ORIENTA AVE
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2517
- Phone
- (631) 681-5192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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