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Tiarra Riddick

NPI 1043125024 · on the registry since 2026

Practice

Address
220 Heberton Ave # 2b
Staten Island, NY 10302
Phone
(718) 448-1900
Fax
(718) 448-1903

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York