Organization
TT MEDICAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA TSIFRINOVICH (MD)
(718) 332-2713
Entity
Organization
Contact information
Practice address
40 OCEANA DR.W 2C, BROOKLYN, NY 11235
(718) 332-2713
Mailing address
40 OCEANA DR W APT 2C, BROOKLYN, NY 11235-6666
(718) 332-2713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
221721
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
221721
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
221721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226795
—
NY
Enumeration date
12/13/2016
Last updated
01/19/2017
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