| Tatiana Kidanov, MS,RD,CDN,CDCES | |
|
36 Borman Ave, Staten Island, NY 10314-4957 | |
| (917) 721-4494 | |
| Not Available |
| Full Name | Tatiana Kidanov |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 36 Borman Ave, Staten Island, 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,CDN,CDCES 36 Borman Ave, Staten Island, NY 10314 Ph: (917) 721-4494 | Tatiana Kidanov, MS,RD,CDN,CDCES 36 Borman Ave, Staten Island, NY 10314-4957 Ph: (917) 721-4494 |
Ms. Karla E Journey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17 Azalea Ct, Staten Island, NY 10309 Phone: 917-543-1077 | |
Emily Cardoza, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 126 Collfield Ave, Staten Island, NY 10302 Phone: 347-838-0922 | |
China Lily Mae Reichert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 159 Franklin Ave, Staten Island, NY 10301 Phone: 347-256-2810 | |
Yvonne Gee Mei, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-667-2358 | |
Mrs. Inaiat Soliman, DIETITIAN CDN STATE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 178 Morrison Ave, Staten Island, NY 10310 Phone: 908-380-3087 Fax: 718-442-3646 | |
Valeriya Semenova, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 16 Fairlawn Loop, Staten Island, NY 10308 Phone: 646-675-4415 | |
Nicole Scarangello, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 114 Bentley St, Staten Island, NY 10307 Phone: 917-714-2413 |