Goykhberg, Tatyana

Goykhberg, Tatyana is an sole proprietor health care provider with primary practice located at 3330 Park Avenue 2Nd Floor Suite 9, Wantagh NY 11793-3719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goykhberg, Tatyana can be contacted via phone (516) 765-7799.

Contact Information

Primary practice address
3330 Park Avenue 2Nd Floor Suite 9 Wantagh NY 11793-3719
Phone: (516) 765-7799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402843 New York

Profile Details

NPI number 1326699679
LBN Legal business name Goykhberg, Tatyana
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2019
Last updated Feb 29th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326699679 NPPES
New York Other 402843 STATE LICENSE

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