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TIFFANY DERUE
NPI 1629331020
Specialist in Newark, NY

Active since June 20, 2012
848 PEIRSON AVE, NEWARK, NY 14513(315) 331-2086 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiffany Derue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY DERUE (NPI 1629331020) is an individual specialist in Newark, New York and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1629331020
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTIFFANY DERUE
Location Address848 PEIRSON AVENewark, NY 14513-9762
Mailing Address5748 Ridge RdWilliamson, NY 14589-9717
Phone(315) 331-2086
Sole ProprietorNo
Enumeration DateJune 20, 2012
✔ NPI 1629331020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
848 PEIRSON AVE, Newark, NY 14513
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL DESAIN RN
Registered Nurse
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
JENNIFER THOMSON
Speech-Language Pathologist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
REBECCA LYNN HAMILTON
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
SUSANNAH REAFSNYDER
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
JACQLYNN HALSTEAD MA/AC
Psychologist (School)
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
MRS. JANICE LYNN GIBALA-BROXHOLM CCC/LIC
Speech-Language Pathologist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
MRS. LOUISE JONES
Psychologist (School)
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086
LINDSEY FITZGERALD
Specialist
848 PEIRSON AVE
NEWARK, NY 14513
Wayne County (315) 331-2086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Derue's NPI number?

The NPI number for Tiffany Derue is 1629331020. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Tiffany Derue located?

Tiffany Derue practices at 848 Peirson Ave, Newark, NY 14513. The listed phone number is (315) 331-2086.

What is Tiffany Derue's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tiffany Derue was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.