Individual
TATYANA OKHOTNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP IN PSYCHIATRY
Contact information
Practice address
9705 HORACE HARDING EXPY, APT 18G, CORONA, NY 11368-4157
(917) 442-4290
Mailing address
9705 HORACE HARDING EXPY, APT 18G, CORONA, NY 11368-4157
(917) 442-4290
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402028
NY
Other
Enumeration date
10/14/2016
Last updated
07/21/2022
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