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1750727533
TIFFANY RIVERA
AMITYVILLE, NY
NPI
1750727533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 309669-1)
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
-- TIFFANY RIVERA
555 ALBANY AVE
AMITYVILLE, NY 11701-1115
Phone number: 516-984-2666
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Mailing Address
-- TIFFANY RIVERA
PO BOX 83
NESCONSET, NY 11767-0083
Phone number:
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