TIFFANY BROOK REAVIS

BROOKLYN, NY
NPI1952607251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: NY  259626)
Additional Taxonomies208600000X Surgery
(Licence: NY  259626)
2082S0105X Plastic Surgery, Surgery of the Hand
(Licence: NY  259626)
208600000X Surgery
(Licence: AZ  005932)
2086S0127X Surgery, Trauma Surgery
(Licence: AZ  005932)
208200000X Plastic Surgery
(Licence: WA  OP 60329393)
208600000X Surgery
(Licence: WA  OP 60329393)
208600000X Surgery
(Licence: FL  OS 12793)
208200000X Plastic Surgery
(Licence: FL  OS 12793)
2086S0127X Surgery, Trauma Surgery
(Licence: FL  OS 12793)
Enumeration Date2011-02-03
Last Update Date2016-09-02
Business Address
Dr. TIFFANY BROOK REAVIS D.O.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 909-636-6497
Mailing Address
Dr. TIFFANY BROOK REAVIS D.O.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 909-636-6497