Katsman, Tatyana

Katsman, Tatyana is an sole proprietor health care provider with primary practice located at 3974 Amboy Rd Ste 302 , Staten Island NY 10308-2414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Katsman, Tatyana can be contacted via phone (718) 967-1071.

Contact Information

Primary practice address
3974 Amboy Rd Ste 302 Staten Island NY 10308-2414
Phone: (718) 967-1071
Fax: (888) 908-8284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB073901 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 291980 New York

Profile Details

NPI number 1447259841
LBN Legal business name Katsman, Tatyana
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Jun 18th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447259841 NPPES
New York Other 05353219 MEDICAID
New York MEDICAID 0079367 MEDICAID
New York MEDICAID 05353219 MEDICAID
New York Other 291980 MEDICAID

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