Provider Demographics
NPI:1437499324
Name:ALLEYNE, TIFFANY MELISSA
Entity Type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:MELISSA
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5134
Mailing Address - Country:US
Mailing Address - Phone:347-902-1143
Mailing Address - Fax:
Practice Address - Street 1:1444 E 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5134
Practice Address - Country:US
Practice Address - Phone:347-902-1143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309769164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse