Individual
TATYANA FAYNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(954) 399-4645
(855) 855-2792
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-1660
(814) 534-1680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS14294
FL
208600000X
Surgery Physician
OT014216
PA
Other
Enumeration date
05/25/2011
Last updated
11/08/2016
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