Tatjana Mondom is a Family Medicine in Utica, New York. Tatjana Mondom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tatjana Mondom is 1851353148. The last update date is 2015-12-07.
Tatjana Mondom's current location address is 1656 Champlin Ave, Utica, New York. You can contact this provider via phone number 3156246467 and fax number 3156246469. The mailing address for Tatjana Mondom is 1656 Champlin Ave, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tatjana Mondom |
|---|---|
| Address | 1656 Champlin Ave, Utica, New York |
| Phone Number | 3156246467 |
| Fax Number | 3156246469 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851353148 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2015-12-07 |
Provider Mailing Address Detail
| Address | 1656 Champlin Ave |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 135024830 |
| Phone Number | 3156246467 |
| Fax Number | 3156246469 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 227664-1 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2370285 | NY | -- |
Post Comment/ Review Below
What is the Tatjana Mondom's 1851353148?
The Tatjana Mondom's NPI (National Provider Identifier) Number is 1851353148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tatjana Mondom located?
The Tatjana Mondom is located at 1656 Champlin Ave, Utica, NY 135024830.
What is the Tatjana Mondom's area of specialization and corresponding taxonomy classification?
The Tatjana Mondom's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Tatjana Mondom receive its 1851353148 assignment from the Centers for Medicare & Medicaid Services?
The Tatjana Mondom was assigned its 1851353148 by the Centers for Medicare & Medicaid Services on 2006-04-04.
As of what date were the Tatjana Mondom's details last updated?
The information pertaining to the Tatjana Mondom, including its address, specialty, and other details, was most recently updated on 2015-12-07.