NPI 1134690084
Tiana Jazmin Mack
Practice location
- Address
- 858 E 29th St, Brooklyn, NY 11210-2927
- Phone
- (718) 859-4500
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1134690084
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Dec 2018
- Record last updated
- 17 Dec 2018
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.