Gofman, Tatyana
Gofman, Tatyana is an sole proprietor health care provider with primary practice located at 2928 W 36Th St , Brooklyn NY 11224-1410. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gofman, Tatyana can be contacted via phone (718) 372-3300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | New York |
Profile Details
| NPI number | 1679815385 |
|---|---|
| LBN Legal business name | Gofman, Tatyana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2013 |
| Last updated | Mar 20th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679815385 | NPPES |
| New York | MEDICAID | 00244220 |
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