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Organization
TATIANA PAVLOVA PHYSICIAN PLLC
Active
Organization
TATIANA PAVLOVA PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA A PAVLOVA M.D (OWNER)
(202) 927-0333
Entity
Organization
Contact information
Practice address
601 W 177TH ST, NEW YORK, NY 10033-7152
(212) 927-0333
(212) 927-0335
Mailing address
601 W 177TH ST, NEW YORK, NY 10033-7152
(212) 927-0333
(212) 927-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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