Reavis, Tiffany Brook

Reavis, Tiffany Brook is an sole proprietor health care provider with primary practice located at 150 55Th St , Brooklyn NY 11220-2508. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Reavis, Tiffany Brook can be contacted via phone (909) 636-6497.

Contact Information

Primary practice address
150 55Th St Brooklyn NY 11220-2508
Phone: (909) 636-6497
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 259626 New York
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 259626 New York
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 259626 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 005932 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 005932 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X OP 60329393 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X OP 60329393 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X OS 12793 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X OS 12793 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS 12793 Florida

Profile Details

NPI number 1952607251
LBN Legal business name Reavis, Tiffany Brook
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2011
Last updated Sep 2nd, 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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