DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY A SIACA

Active Sole Proprietor

Massage Therapist · N MASSAPEQUA, NY

Registration Details

NPI Number
1003555103
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2022 (3.9331602050625 yrs)
Last Updated
May 27, 2022
License
030708-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
935 N BROADWAY
N MASSAPEQUA, NY, 117582308
Browse NY providers · Browse ZIP 11758
Phone
5167075915
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in N MASSAPEQUA, NY

Name Credential NPI
MS. CATHERINE LOUISE LANE LMT 1770750051
LINDA SILVESTRO LMT 1275485914
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.