NPI 1083209621

Tiffany Mary Renae Porter

Practitioner Peer Specialist Warsaw, NY

Practice location

Address: 96 W Buffalo St, Warsaw, NY 14569-1210
Phone: (585) 219-3654

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1083209621
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2021
Record last updated: 5 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.