Tatiana a Pavlova MD
Tatiana a Pavlova MD is a Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
4738 BroadwayNew York, NY 10040-1103
Phone: (212) 569-5331
Fax: (212) 569-5330
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 224668 (NY) |
|---|
Record details
| NPI number | 1235408576 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tatiana Pavlova — Medical Director · (212) 569-5330 |
| NPI enumerated | December 15, 2011 |
| Last updated in NPPES | December 15, 2011 |
| Mailing address | 4738 Broadway, New York, NY 10040-1103 |
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