Individual
MS. TATYANA KOLESNIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN., NP
Contact information
Practice address
1623 KINGS HWY, 4TH FLOOR, BROOKLYN, NY 11229-1209
(718) 375-1200
Mailing address
1623 KINGS HWY, 4TH FLOOR, BROOKLYN, NY 11229-1209
(718) 375-1200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F305972-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340835-1
NY
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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