Sveshnikova, Tatiana

Sveshnikova, Tatiana is an individual health care provider with primary practice located at 1017 Beach 20Th St , Far Rockaway NY 11691. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sveshnikova, Tatiana can be contacted via phone (718) 327-4000.

Contact Information

Primary practice address
1017 Beach 20Th St Far Rockaway NY 11691
Fax: (718) 327-0099
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 046041 New York

Profile Details

NPI number 1033190509
LBN Legal business name Sveshnikova, Tatiana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 17 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 1033190509 NPPES
New York MEDICAID 01578005

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