TATIANA KIDANOV


Address: 1309 Ave P, Brooklyn, NY 11229
Phone: 7186482162

TATIANA KIDANOV (NPI# 1871775171) 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) 1871775171
Entity Type Individual
Full Name TATIANA KIDANOV
Credential MS,RD
Practice Address 1309 Ave P
Brooklyn
NY 11229
Mailing Address 36 Borman Ave
Staten Island
NY 10314
Practice Telephone 7186482162
Mailing Telephone 9177214494
Enumeration Date 2007-11-29
Last Update Date 2009-12-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
006762 NY Dietary & Nutritional Service Providers

Office Location

Street Address 1309 AVE P
City BROOKLYN
State NY
Zip Code 11229

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NPI Name Taxonomy Address Enumeration
1861576621 Zaki Nakach Nutritionist 1309 Ave P, 1st Flr., Brooklyn, NY 11229 2006-10-25

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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1922212976 Patricia Walker-tulloch Dietitian, Registered 1222 E 96th St, Brooklyn, NY 11236-3903 2007-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1770994741 Juliana Martinez Dietitian, Registered 430 West 34th St, Apt. 3k, New York, NY 10001-2310 2014-05-13
1912338120 Kelly Elaine Gumpel Dietitian, Registered 60 Paulding Ave, Tarrytown, NY 10591-5713 2013-12-13
1467898528 Ilona Ginevic Dietitian, Registered One Gustave L. Levy Place, Box 1497, New York, NY 10029 2013-05-16
1114286887 Ilene Frischer Dietitian, Registered 560 Northern Blvd Suite207, Great Neck, NY 11021 2012-05-15
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Competitor

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City BROOKLYN
Zip Code 11229

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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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