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

Tatyana Petukhova, MD, MS

Individual provider Dermatology Physician · NPI 1528300878

Tatyana Petukhova, MD, MS is a Micrographic Dermatologic Surgery (Mds) in New York, New York. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2013, 13 years ago. Practices with Josiane Lederman, MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
13
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

156 William St Fl 11
New York, NY 10038-5323
Phone: (646) 962-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 293685 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence A131981 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 293685 (NY)

Record details

NPI number1528300878
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MS
Sole proprietorYes
NPI enumeratedMarch 25, 2013
Last updated in NPPESJanuary 11, 2019

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Josiane Lederman, Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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