Individual
TATYANA TATARSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
176 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 484-8410
(718) 484-8413
Mailing address
35 NUGENT AVE, STATEN ISLAND, NY 10305-3500
(718) 484-8410
(718) 484-8413
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007038
NY
Other
Enumeration date
12/10/2009
Last updated
12/15/2009
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