MICHAEL TYSHKOV

STATEN ISLAND, NY
NPI1902882038
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics Pediatric Gastroenterology
(Licence: NY  180877)
Enumeration Date2005-12-20
Last Update Date2008-12-31
Business Address
DR. MICHAEL TYSHKOV MD
584 FOREST AVE
STATEN ISLAND, NY 10310-2512
Phone number: 718-226-5619
Mailing Address
DR. MICHAEL TYSHKOV MD
1 EDGEWATER ST 6TH FL. PAYER RELATIONS
STATEN ISLAND, NY 10305-4900
Phone number: 718-226-1008
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