| NPI | 1861555245 |
|---|---|
| Professional Name | TETIANA KIHICZAK BAZARKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: CT 000914) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000914) |
| 213E00000X Podiatrist (Licence: NJ 25MD00271900) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: NJ 25MD00271900) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: NJ 25MD00271900) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-08-06 |