Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIARA MATTOX
Active Sole ProprietorTIARA MATTOX is a Respite Care (Camp) healthcare provider located in BRONX, New York. NPI 1194477901 is currently active in the NPPES registry. Verify at CMS.
Respite Care (Camp) · BRONX, NY
Registration Details
- NPI Number
- 1194477901
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2022 (4.5769572314174 yrs)
- Last Updated
- Jan 23, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 CASALS PL APT 13CBRONX, NY, 104753138Browse NY providers · Browse ZIP 10475
- Phone
- 9176398277
- Primary Specialty
-
Respite Care (Camp)
385HR2060X
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.