Individual
TATYANA SERGEYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DRUM RD, RM D-113, STATEN ISLAND, NY 10305-5001
(718) 354-4414
Mailing address
21 REMSEN ST, APT 1ST FLOOR, STATEN ISLAND, NY 10304-4117
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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