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General NPI Number Information
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NPI Number | 1184739799
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Entity Type | Organization
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Legal Business Name | TATIANA KHROM, M.D., P.C.
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 2797 OCEAN PKWY STE 3
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City | BROOKLYN
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State | NY
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Zip | 11235-7868
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Country | US
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Telephone | 718-615-4000
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Fax | 718-615-4004
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Provider Business Mailing Address
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Address Line | 2797 OCEAN PARKWAY 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11235-7868
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Country | US
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Telephone | 718-615-4000
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Fax | 718-615-4004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TATIANA KHROM
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Credential | M.D.
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Telephone | 646-479-8039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 227196
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 227196
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 227196
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License Number State | NY
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