Individual
TATYANA PEVZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2320 AVENUE U, BROOKLYN, NY 11229-4917
(718) 368-3333
(718) 934-4885
Mailing address
2320 AVENUE U, BROOKLYN, NY 11229-4917
(718) 368-3333
(718) 934-4885
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
203740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01873303
—
NY
Enumeration date
10/29/2006
Last updated
10/11/2007
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