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

TIFFANY J GATES-MABY, PA

Active

TIFFANY J GATES-MABY, PA is a Physician Assistant healthcare provider located in DEPOSIT, New York. NPI 1295705085 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DEPOSIT, NY

Registration Details

NPI Number
1295705085
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2006 (20.539876786834 yrs)
Last Updated
Feb 26, 2013
Licenses
MA002555L (PA)
008098 (NY)

Practice Information

Address
53 PINE ST
DEPOSIT, NY, 137541301
Browse NY providers · Browse ZIP 13754
Phone
6074674195
Fax
6074676219
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
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.