TIFFANY COOPER

LAKE GROVE, NY
NPI1215485941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  22 686754)
Enumeration Date2016-09-12
Last Update Date2016-09-12
Business Address
-- TIFFANY COOPER
99 ORIENTA AVE
LAKE GROVE, NY 11755-2517
Phone number: 631-681-5192
Mailing Address
-- TIFFANY COOPER
PO BOX 325
SELDEN, NY 11784-0325
Phone number: 631-681-5192
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