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TATIANA A PAVLOVA MD NPI 1235408576


NPI Information

NPI: 1235408576
Provider Name: TATIANA A PAVLOVA MD
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4738 BROADWAY
NEW YORK, NY
ZIP 10040
Phone: (212) 569-5331
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TATIANA A PAVLOVA MD is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TATIANA A PAVLOVA MD NPI is 1235408576. The provider is registered as an organization entity type.

The provider's business location address is:

4738 BROADWAY
NEW YORK, NY
ZIP 10040-103
Phone: (212) 569-5331
Fax: (212) 569-5330

The provider's authorized official is Tatiana A Pavlova .
The authorized official title is Medical Director and has the following contact phone number (212) 569-5330.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 12/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center224668NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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