Tatiana Kidanov in Staten Island - Nutrition, Metabolic
Tatiana Kidanov - NPI 1871775171
Tatiana Kidanov is a Nutrition, Metabolic in Staten Island, New York. Tatiana Kidanov practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Tatiana Kidanov is 1871775171. The last update date is 2009-12-02.
Tatiana Kidanov's current location address is 36 Borman Ave, Staten Island, New York. You can contact this provider via phone number 9177214494. The mailing address for Tatiana Kidanov is 36 Borman Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tatiana Kidanov |
|---|---|
| Address | 36 Borman Ave, Staten Island, New York |
| Phone Number | 9177214494 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS,RD |
NPI Number Detail
| NPI Number | 1871775171 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2009-12-02 |
Provider Mailing Address Detail
| Address | 36 Borman Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 10314 |
| Phone Number | 9177214494 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 6762 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tatiana Kidanov by the Centers for Medicare & Medicaid Services?
The Tatiana Kidanov has been assigned the NPI (National Provider Identifier) 1871775171. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tatiana Kidanov is geographically located?
The Tatiana Kidanov is physically situated at the following location: 36 Borman Ave, Staten Island, NY, 10314.
What is Tatiana Kidanov's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tatiana Kidanov's area of specialization is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this field of practice is 133Vn1006X.
On what date was the 1871775171 assigned to Tatiana Kidanov?
The Tatiana Kidanov was issued its 1871775171 on 2007-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tatiana Kidanov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tatiana Kidanov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-02.
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