Samchuk, Tatyana

Samchuk, Tatyana is an individual health care provider with primary practice located at 193 W 237Th St , Bronx NY 10463-4141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Samchuk, Tatyana can be contacted via phone (718) 303-0479.

Contact Information

Primary practice address
193 W 237Th St Bronx NY 10463-4141
Phone: (718) 303-0479
Fax: (718) 303-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008220 New York

Profile Details

NPI number 1356394266
LBN Legal business name Samchuk, Tatyana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 29th, 2019 - about 7 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 1356394266 NPPES
New York MEDICAID 02240999

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