Provider Demographics
NPI:1497517239
Name:TIFFEN, EMILY (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:TIFFEN
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ISLAND AVE APT 5F
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-1300
Mailing Address - Country:US
Mailing Address - Phone:516-355-8435
Mailing Address - Fax:
Practice Address - Street 1:3 ISLAND AVE APT 5F
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1300
Practice Address - Country:US
Practice Address - Phone:516-355-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYND12354133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered