Tiffany Crystal Altidor
Individual provider Active NPI Case Manager/Care Coordinator · Roosevelt, NY
NPI 1679281174 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1679281174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 59 Gormley Ave
Roosevelt, NY 11575-2416 - Phone
- (516) 884-5998
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
59 Gormley Ave
Roosevelt, NY 11575-2416
Mailing address
59 Gormley Ave
Roosevelt, NY 11575-2416
Phone (516) 884-5998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194063016 | Other | NY | EIP |
| 256260 | Other | NY | EIP |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EIP | Other |
Other providers in Roosevelt, NY
- Elaine Adams-Borden
- Esther Malka Adler
- Jennifer Albert
- Elizabeth Anne Alfano
- Allegiance Home Health Agency Inc
- Amtaj Enterprise LLC
- Mishma T. L. Anderson
- Katia Andrade
- Kim Angelone
- Angela Ankobiah
All providers in Roosevelt, NY · Case Manager/Care Coordinator in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.