Individual
TATYANA REZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639539-1
NY
163WC0200X
Critical Care Medicine Registered Nurse
RN181059
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
639539
NY
Other
Enumeration date
11/22/2010
Last updated
08/01/2014
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