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NPI Code Detail

MEDICARE: DR. TATIANA KARTSEVA PH.D.

MEDICARE: DR. TATIANA KARTSEVA PH.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
1103T00000XPsychologist012976-1NY

General Provider Information

NPI Number : 1689769341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TATIANA KARTSEVA PH.D.
Provider Business Mailing Address
First Line : 26 ARTHUR PL
Second Line :
City : YONKERS
State : NY
Zip : 10701-1703
Country : US
Telephone Number : 914-375-6448
Fax Number : 914-375-6439
Provider Business Practice Location Address
First Line : 333 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5947
Country : US
Telephone Number : 718-339-5300
Fax Number : 718-339-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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