MARINA SHULAMIT TSIVIN


Address: 1419 Myrtle Ave, Brooklyn, NY 11237-4512
Phone: 7189074321

MARINA SHULAMIT TSIVIN (NPI# 1114439130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114439130
Entity Type Individual
Full Name MARINA SHULAMIT TSIVIN
Credential FNP
Practice Address 1419 Myrtle Ave
Brooklyn
NY 11237-4512
Mailing Address 219 E 69th St Apt 7f
New York
NY 10021-5455
Practice Telephone 7189074321
Practice Fax Number 3474257681
Mailing Telephone 3473427804
Enumeration Date 2017-10-31
Last Update Date 2019-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F342368-1 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
374 Stockholm St, Brooklyn, NY 112374006 7189637272

Office Location

Street Address 1419 MYRTLE AVE
City BROOKLYN
State NY
Zip Code 11237-4512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205201837 Wyckoff Professional Medical Services PC Clinic/Center 1419 Myrtle Ave, Wyckoff Doctors, Brooklyn, NY 11237-4512 2015-12-08
1639608771 Amanda Sterbenz Nurse Practitioner 1419 Myrtle Ave, Brooklyn, NY 11237 2017-06-11
1932574563 Stockholm Obstetrics & Gynecological Services, PC Clinic/Center 1419 Myrtle Ave, Wyckoff Doctors, Brooklyn, NY 11237-4512 2015-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194379644 Giovanna Fiorella Ramirez Barbieri Obstetrics & Gynecology 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 2019-08-01
1013575554 Miseon Kang Counselor Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 2019-05-30
1023598943 Kathryn Falk Speech-Language Pathologist Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 2018-08-20
1437648870 Dawn Tya Chapin Student in an Organized Health Care Education/Training Program Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 2018-05-01
1518410471 Cameron Hetzler Dentist 374 Stockholm St., Brooklyn, NY 11237 2016-07-27
1215399043 Rose R Capuz Skilled Nursing Facility 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 2016-03-22
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1245615442 Estefany Sanchez Mendez Pediatrics 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 2015-07-29
1033507231 Macarena Rufin Counselor 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 2014-12-23
1740691021 Wyckoff Anesthesia and Medical Services, PC Clinic/Center 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 2014-05-08
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1396346136 Amarachukwu U Egbujor Nurse Practitioner 565 Pine St, Brooklyn, NY 11208-3901 2020-11-06
1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
1710588389 Patricia Ayozie Nurse Practitioner 587 E 86th St Fl 2, Brooklyn, NY 11236-3226 2020-11-02
1598363657 Anna Kleyner Nurse Practitioner 2730 Neptune Ave, Brooklyn, NY 11224-2060 2020-10-12
1861090193 Cheyenne Alexia James Nurse Practitioner 358 Halsey St, Brooklyn, NY 11216-2412 2020-10-09
1821605213 Dudmire Belizaire Nurse Practitioner 1267 Ryder St, Brooklyn, NY 11234-2816 2020-09-29
1003423716 Iris Yuen Nurse Practitioner 8609 18th Ave, Brooklyn, NY 11214-3701 2020-09-26
1144832833 Julia Kogan Nurse Practitioner 2544 E 23rd St, Brooklyn, NY 11235-2506 2020-08-23
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Competitor

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City BROOKLYN
Zip Code 11237

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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