Most Relevant Information
Provider Data
| NPI Number: | 1003252768 |
| Provider Name: | TIFFANY ANN NEWENHOUSE RD, CDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 008062 |
Most Important Dates
| Enumeration Date: | 05/21/2013 |
| Last Updated: | 04/28/2014 |
Provider Practice Location
1621 EASTCHESTER RD
BRONX
NY
104612604
Practice Location Phone/Fax
| Phone: | 7184058040 |
| Fax: |
Provider Mailing Location
1621 EASTCHESTER RD
BRONX
NY
104612604
Provider Mailing Phone/Fax
| Phone: | 7184058040 |
| Fax: |