Vysotsky, Tanya

Vysotsky, Tanya is an individual health care provider with primary practice located at 150 S Huntington Ave , Jamaica Plain MA 02130-4817. 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. Vysotsky, Tanya can be contacted via phone (857) 364-4757.

Contact Information

Primary practice address
150 S Huntington Ave Jamaica Plain MA 02130-4817
Phone: (857) 364-4757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA5218 Massachusetts

Profile Details

NPI number 1629476247
LBN Legal business name Vysotsky, Tanya
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2014
Last updated Dec 13th, 2014 - about 12 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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