Kizelshteyn, Tatyana
Kizelshteyn, Tatyana is an individual health care provider with primary practice located at 2134 Barnes Ave , Bronx NY 10462-1902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kizelshteyn, Tatyana can be contacted via phone (718) 828-3663.Contact Information
Primary practice address
2134 Barnes Ave
Bronx NY 10462-1902
Phone: (718) 828-3663
Fax: (718) 828-3154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 171414 | New York |
Profile Details
| NPI number | 1588670194 |
|---|---|
| LBN Legal business name | Kizelshteyn, Tatyana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 10th, 2015 - about 10 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 | 1588670194 | NPPES |
| New York | MEDICAID | 01028160 |
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