Provider Demographics
NPI:1639443633
Name:KNIPE, TIFFANY ARIANA (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ARIANA
Last Name:KNIPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418-A WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:917-388-2611
Mailing Address - Fax:917-388-2606
Practice Address - Street 1:418-A WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:917-388-2611
Practice Address - Fax:917-388-2606
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24522012080P0208X
NY245220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases