Individual
TATYANA ZAYONTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
476 BAY RIDGE PKWY, BROOKLYN, NY 11209-2702
(305) 338-8837
Mailing address
1630 MADISON AVE APT 3C, NEW YORK, NY 10029-3581
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0233641
NY
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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