NPI 1134267313

Tatyana Sergeyeva

Practitioner Military Health Care Provider Staten Island, NY

Practice location

Address: 215 Drum Rd Rm D-113, Staten Island, NY 10305-5001
Phone: (718) 354-4414
Mailing address: 21 Remsen St APT 1st Floor, Staten Island, NY 10304-4117

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in New York →

Registry record

NPI: 1134267313
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.