| Tatiana Kidanov, MS,RD | |
|
1309 Ave P, Brooklyn, NY 11229 | |
| (718) 648-2162 | |
| Not Available |
| Full Name | Tatiana Kidanov |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 1309 Ave P, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871775171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 006762 (New York) | Primary |
| Provider Name | Voorhies Nephrology Medical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295772424 PECOS PAC ID: 8729048145 Enrollment ID: O20041012000055 |
| Provider Name | Manalapan Medical Center Pa Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821225137 PECOS PAC ID: 8022164920 Enrollment ID: O20111230000002 |
| Provider Name | Parcare Community Health Network Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730454083 PECOS PAC ID: 4981823390 Enrollment ID: O20140917002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana Kidanov, MS,RD 36 Borman Ave, Staten Island, NY 10314 Ph: (917) 721-4494 | Tatiana Kidanov, MS,RD 1309 Ave P, Brooklyn, NY 11229 Ph: (718) 648-2162 |
Ms. Esther M Maleh, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1236 Ocean Pkwy, Apt 5c, Brooklyn, NY 11230 Phone: 917-294-0500 | |
Vanessa Theresa Genova, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1342 76th Street, Brooklyn, NY 11228 Phone: 646-734-7277 | |
Shira Wolfson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 522 E 9th St, Brooklyn, NY 11218 Phone: 718-435-5009 | |
Sara Hochman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 335 Central Ave, Brooklyn, NY 11221 Phone: 718-573-4860 | |
Susan S Juray, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1310 Pennsylvania Ave Apt 14g, Brooklyn, NY 11239 Phone: 347-749-4342 | |
Berta Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 74a Parkway Ct, Brooklyn, NY 11235 Phone: 732-508-0347 | |
Ella Gilboa, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 240 Sullivan Pl Apt 1, Brooklyn, NY 11225 Phone: 917-932-3893 |