Individual
MRS. TATYANA MISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
47 TANAGER CT, WAYNE, NJ 07470-8435
(347) 341-3104
(862) 264-2372
Mailing address
47 TANAGER CT, WAYNE, NJ 07470-8435
(347) 341-3104
(862) 264-2372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
541801111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
541801111
NY STATE DEPARTMENT OF EDUCATION
NY
Enumeration date
11/28/2012
Last updated
11/28/2012
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