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Organization

TATYANA KOTLYAREVSKY MD PC

Active
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Organization

TATYANA KOTLYAREVSKY MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TATYANA KOTLYAREVSKY MD (OWNER)
(718) 253-7474
Entity
Organization

Contact information

Practice address
1811 AVENUE J, BROOKLYN, NY 11230-3808
(718) 253-7474
Mailing address
3720 S OCEAN BLVD APT 1402, HIGHLAND BEACH, FL 33487-3389
(561) 455-4457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
165404
NY

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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