MEDICARE: SHINING TINY STARS LLC

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1568355956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINING TINY STARS LLC

Provider Business Mailing Address
First Line	:	2514 E 7TH ST APT 3G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6230
Country	:	US
Telephone Number	:	347-703-0642
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 E 7TH ST APT 3G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6230
Country	:	US
Telephone Number	:	347-703-0642
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZORYANA PASICHNYAK
Credential	:
Telephone Number	:	347-703-0642

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

Similar Medicare Providers

1275356073 — AMIRA SULEYMANOVA
Practice Location Address:

2025 E 73RD ST FL 1
BROOKLYN, NY
11234-6230

Practice Phone: 917-443-9407
Practice Fax:

1720919244 — EKATERINI FASARAKIS
Practice Location Address:

2033 E 73RD ST
BROOKLYN, NY
11234-6230

Practice Phone: 646-319-1140
Practice Fax:

1487587465 — STEVEN POLISHCHUK
Practice Location Address:

2965 AVENUE Z APT 6P
BROOKLYN, NY
11235-1647

Practice Phone: 917-446-8584
Practice Fax:

1841601069 — ILONA KURPAKOV
Practice Location Address:

15 W END AVE APT 5A
BROOKLYN, NY
11235-2335

Practice Phone: 646-409-6235
Practice Fax:

1598161812 — EIND NP IN ADULT HEALTH, P.C.
Practice Location Address:

15 W END AVE APT 5A
BROOKLYN, NY
11235-2335

Practice Phone: 646-409-6235
Practice Fax:

1710843248 — MS. DZHAVAEL IZRAILOVA
Practice Location Address:

40 OCEANA DR W APT 3F
BROOKLYN, NY
11235-6667

Practice Phone: 347-431-6332
Practice Fax:

Directions to “SHINING TINY STARS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.