| Doctor Name: | MRS. TIFFANY MARIE SALZILLO |
| NPI Number: | 1073783023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPP |
| License Number: | F4010881 |
| Business Practice Address: | 998 Crooked Hill Rd West Brentwood, NY - 117171043 |
| Business Phone Number: | 6317613500 |
| Business Fax Number: | |
| Mailing Address: | 34 Starlight Dr, COMMACK |
| State: | NY |
| Postal Code: | 117253512 |
| Phone Number: | 6315436538 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2008 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F4010881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |