Tetyana Divinskiy
Family Doctor - Geriatric Medicine
270 Park Ave
Huntington
, New York 11743-2787
Tetyana Divinskiy
Family Doctor - Geriatric Medicine
270 Park Ave
Huntington
, New York 11743-2787
(631) 760-2182
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Tetyana Divinskiy
- 270 Park Ave
- Huntington, NY
- Zip : 11743-2787
- Fax : (631) 760-2182
- Phone : (631) 351-2255
Second Address
- Tetyana Divinskiy
- 270 Park Ave
- Huntington, NY
- Zip : 11743-2787
- Fax : (631) 760-2182
- Phone : (631) 351-2255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 276198 | NY |
National Provider Identifier
| NPI | 1336436898 |
|---|---|
| Provider Name | Tetyana Divinskiy |
| First Address | Huntington, NY 11743-2787 |
| Second Address | Huntington, NY 11743-2787 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2011 |
| Last Update Date | 30/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.