National Provider Identifier
Tiffany Mary Renae Porter
Tiffany Mary Renae Porter is listed in the NPPES registry with a primary specialty of Peer Specialist in Warsaw, NY and a listed phone number of (585) 219-3654.
Profile Overview
- NPI
- 1083209621
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- March 05, 2021
- Last Updated
- March 05, 2021
Practice Location
- 96 W Buffalo St
- Warsaw, NY 14569-1210
Phone: (585) 219-3654
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1083209621
- Entity Type
- Individual
- Last Name
- Porter
- First Name
- Tiffany
- Middle Name
- Mary Renae
- Mailing Street Address
- 96 W Buffalo St
- Mailing City
- Warsaw
- Mailing State
- NY
- Mailing ZIP Code
- 14569-1210
- Mailing Country
- US
- Mailing Phone
- (585) 219-3654
- Practice Street Address
- 96 W Buffalo St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1210
- Practice Country
- US
- Practice Phone
- (585) 219-3654
- Enumeration Date
- March 05, 2021
- Last Updated
- March 05, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)