Individual
TATYANA KISINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3065 BRIGHTON 14TH ST, BROOKLYN, NY 11235-5545
(718) 496-8755
(718) 375-2735
Mailing address
2806 EAST 23 ST, #6A, BROOKLYN, NY 11235
(718) 496-8755
(718) 375-2735
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
223341-1
NY
Other
Enumeration date
07/12/2006
Last updated
06/07/2011
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