Individual
TATYANA POVILIUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
634 PLANK RD STE 108, CLIFTON PARK, NY 12065-2033
(646) 244-6136
Mailing address
634 PLANK RD STE 108, CLIFTON PARK, NY 12065-2033
(646) 244-6136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403011
NY
Other
Enumeration date
12/15/2020
Last updated
05/30/2025
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