| Doctor Name: | MRS. TIFFANY MARIE OSTROSKI |
| NPI Number: | 1003075466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA053264 |
| Business Practice Address: | 1800 Mulberry St M.c. 68-89 Scranton, PA - 185102369 |
| Business Phone Number: | 5707037351 |
| Business Fax Number: | 5707037801 |
| Mailing Address: | 1800 Mulberry St, M.c. 68-89 SCRANTON |
| State: | PA |
| Postal Code: | 185102369 |
| Phone Number: | 5707037351 |
| Fax Number: | 5707037801 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA053264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |