TATYANA SEMENOVA PHYSICIAN P.C.


Address: 626 Sheepshead Bay Rd Ste 530, Brooklyn, NY 11224-3606
Phone: 3472779084

TATYANA SEMENOVA PHYSICIAN P.C. (NPI# 1790397891) 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) 1790397891
Entity Type Organization
Organization Name TATYANA SEMENOVA PHYSICIAN P.C.
Practice Address 626 Sheepshead Bay Rd Ste 530
Brooklyn
NY 11224-3606
Mailing Address 2258 84th St
Brooklyn
NY 11214-3383
Practice Telephone 3472779084
Mailing Telephone 3472779084
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Authorized Official Name TATYANA SEMENOVA (PRESIDENT)
Authorized Official Telephone 3472779084
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations TATYANA SEMENOVA PHYSICIAN P.C. 2558 84th Street, Brooklyn, New York 11214

Office Location

Street Address 626 SHEEPSHEAD BAY RD STE 530
City BROOKLYN
State NY
Zip Code 11224-3606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437431269 Tatyana Semenova Psychiatry & Neurology 626 Sheepshead Bay Rd Ste 530, Brooklyn, NY 11224-3606 2011-09-19

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NPI Name Taxonomy Address Enumeration
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1598283723 Natalie Misyuk Registered Nurse 2820 West 8th Street Apt 11-h, Brooklyn, NY 11224 2017-09-08
1811412356 Lisa S Rudnitsky Day Training, Developmentally Disabled Services 445 Neptune Avenue, 12d, Brooklyn, NY 11224 2017-08-05
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1033665336 Galina Moiseyeva Pharmacist 2946 W23rd Ap6-n, Brooklyn, NY 11224 2016-08-28
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1235537143 Nola Roxanne Moore Licensed Practical Nurse 2867 West 37th Street, Brooklyn, NY 11224 2014-12-09
1447651989 Renata Vaysman Psychologist 2925 W 19th St, Brooklyn, NY 11224 2014-09-15
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386288587 Kings Psychological Services Clinic/Center 6735 Ridge Blvd Apt 2c, Brooklyn, NY 11220-5236 2019-10-30
1912557349 Meisel Np In Psychiatry, Pllc Clinic/Center 38 8th Avenue, 1st Fl Suite 10, Brooklyn, NY 11217 2019-09-17
1427278548 Brooklyn Psychiatric Centers,inc Clinic/Center 189 Montague Street, Suite 418, Brooklyn, NY 11201 2007-04-30
1467571653 Jewish Child Care Association of New York Clinic/Center 858 East 29th Street, Brooklyn, NY 11210-2927 2007-03-28
1821159328 National Society for Hebrew Day Schools Clinic/Center 813 Quentin Rd Ste 203, Brooklyn, NY 11223-2251 2006-12-12
1497832919 Beverley Mack Harry Consulting Services Inc. Clinic/Center 738 Crown St, Brooklyn, NY 11213-5442 2006-11-01
1922191089 Brooklyn Psychiatric Centers, Inc Clinic/Center 3043 Avenue W, Brooklyn, NY 11229-5505 2006-10-02
1851484901 Brooklyn Pyschiatric Centers, Inc Clinic/Center 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339 2006-10-02
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Competitor

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City BROOKLYN
Zip Code 11224

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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