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Tatyana Ksendzovskaya, NP
Medical Specialty Clinic/Center in Brooklyn, New York
NPI 1073839924

Tatyana Ksendzovskaya is a Medical Specialty Clinic/Center based in Brooklyn, NY and is specialized in Medical Specialty. Tatyana Ksendzovskaya practices in Brooklyn, NY and has the professional credentials of NP. The NPI Number for Tatyana Ksendzovskaya is 1073839924 and holds a License No. 420983 (New York).

The current practice location address for Tatyana Ksendzovskaya is 2266 E 23Rd St, Brooklyn, NY and can be reached out via phone at 917-767-7772 and via fax at 718-648-9677.

Location: 2266 E 23Rd St, Brooklyn, NY, 11229-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073839924
Provider Name
Tatyana Ksendzovskaya
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2266 E 23Rd St, Brooklyn, NY, 11229-4806
Phone Number
917-767-7772
Fax Number
718-648-9677
Provider Enumeration Date
04/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2266 E 23Rd St
City
Brooklyn
State
New York
Zip
11229-4806
Phone Number
917-767-7772
Fax Number
718-648-9677
person
Provider Business Mailing Address Details
Address
2266 E 23Rd St
City
Brooklyn
State
New York
Zip
11229-4806
Phone Number
917-767-7772
Fax Number
718-648-9677
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
420983 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
420983 (New York)
Definition
Definition to come...
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