Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tatyana Antonevich, MD

Individual provider Pulmonary Disease Physician · NPI 1528054368

Dr. Tatyana Antonevich, MD is a Pulmonary Disease in New Hartford, New York. Qualified in 1996, 30 years ago. Practices with Charles T. Sitrin Health Care Center Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone: (315) 624-5960
Fax: (315) 849-5923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence ME90499 (FL)

Record details

NPI number1528054368
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Charles T. Sitrin Health Care Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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