IndividualActive
Tiffany Reavis, D.O.
NPI 1952607251 · Trauma Surgery Physician · Brooklyn, NY
Provider details
- NPI number
- 1952607251
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 259626 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 55th St
Brooklyn, NY 11220-2508
Phone: (909) 636-6497
Approximate (ZIP-level) locationGet directions
Mailing address
150 55th St
Brooklyn, NY 11220-2508
Registry dates
- Enumerated
- 2011-02-03
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.