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NPI Code Detail

MEDICARE: TATYANA GIRSHIN

MEDICARE: TATYANA GIRSHIN
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
1207R00000XInternal Medicine Physician218884NY

General Provider Information

NPI Number : 1881648822
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATYANA GIRSHIN
Provider Business Mailing Address
First Line : 149 CLARENCE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-6201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 248 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-4934
Country : US
Telephone Number : 718-743-7090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 04/10/2008

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Directions to “ TATYANA GIRSHIN ” Practice Location

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