TIFFANY ANN AVON (NPI# 1912364373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912364373 |
| Entity Type | Individual |
| Full Name | TIFFANY ANN AVON |
| Practice Address |
207-28 Jordan Drice Bayside NY 11360 |
| Mailing Address |
20728 Jordan Dr Bayside NY 11360-1183 |
| Practice Telephone | 9178872783 |
| Mailing Telephone | 9178872783 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
020146 | NY | Behavioral Health & Social Service Providers |
| Street Address |
207-28 JORDAN DRICE |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| 1396170916 | Justin Jongkyu Chung | Pharmacist | 2603 213 Street, Bayside, NY 11360 | 2013-09-13 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619520608 | Georgios Mavrolefteros | Psychologist | 4311 211th St, Bayside, NY 11361-2836 | 2019-07-19 |
| 1003322082 | Christine Marie Bartholoma | Psychologist | 1327 Bell Blvd, Bayside, NY 11360-1204 | 2017-12-28 |
| 1346319100 | Irwin Feldinger | Psychologist | 214 06 16th Ave, Bayside, NY 11360-1218 | 2006-11-07 |
| 1326133547 | Lynn F Birnbaum | Psychologist | 23 50 Waters Edge Drive, #3e, Bayside, NY 11360-2204 | 2006-10-04 |
| 1659464634 | Angelo R Caredo | Psychologist | 38-11 Corporal Stone Street, Bayside, NY 11361-2140 | 2006-10-02 |
| 1548369663 | Nicholas Gavalas | Psychologist | 21015 Union Turnpike, Bayside, NY 11364 | 2006-09-22 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1124015425 | Linda Sherry Berman | Psychologist | 21245 26th Ave, Suite 8a, Bayside, NY 11360-1901 | 2005-10-01 |
| 1477965978 | New York Psychological Wellness, PC | Psychologist | 4640 Springfield Blvd, Bayside, NY 11361-3517 | 2014-06-02 |
| 1568632784 | Leeanne Homburger Bonnet | Psychologist | 2901 216th St, Bayside, NY 11360-2810 | 2008-03-04 |
| Find all providers in BAYSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.