Goykhberg, Tatyana
Goykhberg, Tatyana is an sole proprietor health care provider with primary practice located at 3330 Park Avenue 2Nd Floor Suite 9, Wantagh NY 11793-3719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goykhberg, Tatyana can be contacted via phone (516) 765-7799.Contact Information
Primary practice address
3330 Park Avenue 2Nd Floor Suite 9
Wantagh NY 11793-3719
Phone: (516) 765-7799
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402843 | New York |
Profile Details
NPI number | 1326699679 |
---|---|
LBN Legal business name | Goykhberg, Tatyana |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 26th, 2019 |
Last updated | Feb 29th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326699679 | NPPES |
New York | Other | 402843 | STATE LICENSE |
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