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NPI Code Detail

MEDICARE: MRS. SVETLANA PYATIGORSKAYA M.D.

MEDICARE:  MRS. SVETLANA  PYATIGORSKAYA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician275617NY

General Provider Information

NPI Number : 1184913063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SVETLANA PYATIGORSKAYA M.D.
Provider Business Mailing Address
First Line : 2832 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-5132
Country : US
Telephone Number : 646-680-1909
Fax Number :
Provider Business Practice Location Address
First Line : 770 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-1902
Country : US
Telephone Number : 347-627-3988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2011
Last Update Date : 02/20/2019

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Directions to “ MRS. SVETLANA PYATIGORSKAYA M.D.” Practice Location

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