Provider Demographics
NPI:1336435809
Name:HUNTER, TIFFANY CHRISTINE (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:CHRISTINE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:93 NATHALIE AVE
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-1844
Mailing Address - Country:US
Mailing Address - Phone:516-365-6100
Mailing Address - Fax:516-365-0374
Practice Address - Street 1:3111 NEW HYDE PARK RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1209
Practice Address - Country:US
Practice Address - Phone:516-365-6100
Practice Address - Fax:516-365-0374
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY279239-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7185889OtherAETNA
NY7581873OtherCIGNA
NYA400123992OtherMEDICARE