TATYANA SERGEYEVA

STATEN ISLAND, NY
NPI1134267313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- TATYANA SERGEYEVA
215 DRUM RD RM D-113
STATEN ISLAND, NY 10305-5001
Phone number: 718-354-4414
Mailing Address
-- TATYANA SERGEYEVA
21 REMSEN ST APT 1ST FLOOR
STATEN ISLAND, NY 10304-4117
Phone number: