National Provider Identifier

Tiffany Rose Salvatore, RPA-C

Tiffany Rose Salvatore, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Niagara Falls, NY and a listed phone number of (585) 208-3717.

NPI 1063865079Niagara Falls, NYMedical Physician Assistant

Profile Overview

NPI
1063865079
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 14, 2016
Last Updated
October 02, 2018

Practice Location

  • 621 10Th St
  • Niagara Falls, NY 14301-1813

Phone: (585) 208-3717

Mailing Address

  • 3151 Daansen RD
  • Walworth, NY 14568-9328

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1063865079
Entity Type
Individual
Last Name
Salvatore
First Name
Tiffany
Middle Name
Rose
Credential
RPA-C
Provider Other Last Name
Reeder
Provider Other First Name
Tiffancy
Provider Other Middle Name
Rose
Provider Other Credential Text
RPA-C
Provider Other Last Name Type Code
1
Mailing Street Address
3151 Daansen RD
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9328
Mailing Country
US
Practice Street Address
621 10Th St
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-1813
Practice Country
US
Practice Phone
(585) 208-3717
Enumeration Date
July 14, 2016
Last Updated
October 02, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)