Tiffany Phan

Speech-Language Pathologist · Queens, NY

Individual Active NPI

NPI number 1760141238

Practice location

79-01 Broadway
Queens, NY 11373
Phone
(718) 334-4000

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NPI record

NPI
1760141238
Entity type
Individual (Type 1)
Enumeration date
December 13, 2021
Last updated
December 13, 2021
Certified
December 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 030705 NY
Speech-Language Pathologist 235Z00000X 9484 MA

Mailing address

314 4TH St Apt 5
Jersey City, NJ 07302-2344

About Tiffany Phan

Tiffany Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 79-01 Broadway, Queens, NY 11373. The NPI number 1760141238 was assigned on December 13, 2021 and the record was last updated on December 13, 2021.

Tiffany Phan lists 2 licenses in the registry: #030705 (NY) for Speech-Language Pathologist; #9484 (MA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tiffany Phan?

The NPI number is 1760141238.

What is the phone number of Tiffany Phan?

The phone number listed for the practice location is (718) 334-4000.

Where is Tiffany Phan located?

79-01 Broadway, Queens, NY 11373.

What is the taxonomy code for Tiffany Phan?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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