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1750662938
MATTHEW TREVOR TIFFANY
BAY SHORE, NY
NPI
1750662938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY AS0779441)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
Dr. MATTHEW TREVOR TIFFANY M.D.
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
Dr. MATTHEW TREVOR TIFFANY M.D.
32 BAY SHORE AVE
BAY SHORE, NY 11706-7917
Phone number:
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