Dr Tiffany Brook Reavis, DO, FACOS - Surgery in New York, NY

Dr Tiffany Brook Reavis, DO, FACOS is a Surgery - Trauma Surgery physician based in New York, New York. Dr Tiffany Brook Reavis is licensed to practice in New York (license number 259626) and her current practice location is 25 Central Park W Apt 20h, New York, New York. She can be reached at her office (for appointments etc.) via phone at (909) 636-6497.

NPI number for Dr Tiffany Brook Reavis is 1952607251 and her current mailing address is 25 Central Park W Apt 20h, New York, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952607251.

Contact Information

Dr Tiffany Brook Reavis, DO, FACOS
25 Central Park W Apt 20h,
New York, NY 10023-7204
(909) 636-6497
Not Available

Map and Direction




Physician's Profile

Full NameDr Tiffany Brook Reavis
GenderFemale
SpecialitySurgery - Trauma Surgery
Location25 Central Park W Apt 20h, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952607251
  • Provider Enumeration Date: 02/03/2011
  • Last Update Date: 06/25/2026

Medical Identifiers

Medical identifiers for Dr Tiffany Brook Reavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952607251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0127XSurgery - Trauma Surgery OS 12793 (Florida)Secondary
2086S0127XSurgery - Trauma Surgery 259626 (New York)Primary
2082S0105XPlastic Surgery - Surgery Of The Hand 259626 (New York)Secondary
2086S0127XSurgery - Trauma Surgery 005932 (Arizona)Secondary
208600000XSurgery OP 60329393 (Washington)Secondary
208600000XSurgery 259626 (New York)Secondary
208600000XSurgery OS 12793 (Florida)Secondary
208200000XPlastic Surgery OS 12793 (Florida)Secondary
208600000XSurgery 005932 (Arizona)Secondary
208200000XPlastic Surgery OP 60329393 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Brook Reavis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tiffany Brook Reavis, DO, FACOS
25 Central Park W Apt 20h,
New York, NY 10023-7204

Ph: (909) 636-6497
Dr Tiffany Brook Reavis, DO, FACOS
25 Central Park W Apt 20h,
New York, NY 10023-7204

Ph: (909) 636-6497

Reviews and Comments


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