Konklewski, Tiffany

Konklewski, Tiffany is an individual health care provider with primary practice located at 215 Hillside Ave , Williston Park NY 11596-1742. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Konklewski, Tiffany can be contacted via phone (631) 398-0767.

Contact Information

Primary practice address
215 Hillside Ave Williston Park NY 11596-1742
Phone: (631) 398-0767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 058590 New York

Profile Details

NPI number 1811375348
LBN Legal business name Konklewski, Tiffany
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2015
Last updated Aug 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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