Grinchenko, Tatyana
Grinchenko, Tatyana is an individual health care provider with primary practice located at 506 Hamburg Tpke Ste 201 , Wayne NJ 07470-2069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Grinchenko, Tatyana can be contacted via phone (201) 282-8356.Contact Information
Primary practice address
506 Hamburg Tpke Ste 201
Wayne NJ 07470-2069
Phone: (201) 282-8356
Fax: (888) 502-1596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 235641 | New York |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MB082529 | New Jersey |
Profile Details
| NPI number | 1770627713 |
|---|---|
| LBN Legal business name | Grinchenko, Tatyana |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Nov 4th, 2016 - about 9 years ago |
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 | 1770627713 | NPPES |
| New Jersey | MEDICAID | 0149781 |
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