Individual
TATIANA NDJATOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6294
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
311443
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
311443
NY
Other
Enumeration date
04/25/2018
Last updated
10/23/2024
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