Petukhova, Tatyana

Petukhova, Tatyana is an sole proprietor health care provider with primary practice located at 156 William St Fl 11 , New York NY 10038-5323. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Petukhova, Tatyana can be contacted via phone (646) 962-3376.

Contact Information

Primary practice address
156 William St Fl 11 New York NY 10038-5323
Phone: (646) 962-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A131981 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 293685 New York
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 293685 New York

Profile Details

NPI number 1528300878
LBN Legal business name Petukhova, Tatyana
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2013
Last updated Jan 11th, 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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