Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 2452201 | NY |
NPI | 1639443633 |
---|---|
Provider Name | Tiffany Ariana Knipe |
First Address | New York, NY 10013-2438 |
Second Address | New York, NY 10013-2438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2012 |
Last Update Date | 08/03/2012 |