(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003555103
Provider Name: TIFFANY A SIACA
Entity Type: Individual
Taxonomy Code: 225700000X
Specialty: Massage Therapist
License Number: 030708-01
Most Important Dates
Enumeration Date: 05/27/2022
Last Updated: 05/27/2022
Provider Practice Location
935 N BROADWAY
N MASSAPEQUA
NY
117582308
Practice Location Phone/Fax
Phone: 5167075915
Fax:
Provider Mailing Location
935 N BROADWAY
N MASSAPEQUA
NY
117582308
Provider Mailing Phone/Fax
Phone:
Fax: