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NPI Code Detail

MEDICARE: MS. TETYANA G SHTYRYOVA RN

MEDICARE:  MS. TETYANA G SHTYRYOVA  RN
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
1163W00000XRegistered Nurse647127NY

General Provider Information

NPI Number : 1619242336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TETYANA G SHTYRYOVA RN
Provider Business Mailing Address
First Line : 3133 BRIGHTON 7TH ST
Second Line : APT 5I
City : BROOKLYN
State : NY
Zip : 11235-6565
Country : US
Telephone Number : 718-648-4350
Fax Number :
Provider Business Practice Location Address
First Line : 3133 BRIGHTON 7TH ST
Second Line : APT 5I
City : BROOKLYN
State : NY
Zip : 11235-6565
Country : US
Telephone Number : 718-648-4350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2012
Last Update Date : 03/13/2012

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Directions to “ MS. TETYANA G SHTYRYOVA RN” Practice Location

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