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

Tatiana Kidanov, MS, RD, CDN, CDCES

Individual provider Metabolic Nutrition Registered Dietitian · NPI 1871775171

Tatiana Kidanov, MS, RD, CDN, CDCES is a Metabolic Nutrition Registered Dietitian in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

36 Borman Ave
Staten Island, NY 10314-4957
Phone: (917) 721-4494
Show map & directions

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

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 006762 (NY)

Record details

NPI number1871775171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN , CDCES
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026