Tetiana Pavlyshche, MD
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1689348492
StatusActive
Last updated in NPPESAug 4, 2021
Details
- NPI
- 1689348492
- Entity type
- Individual (NPI-1)
- Name
- Tetiana Pavlyshche
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2021
- Certification date
- Aug 4, 2021
- Last updated
- Aug 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 2671562 | NY | Yes |
Practice location
1530 E 18th St Apt 1eBrooklyn, NY 11230-7243
Phone 347-236-3777
Mailing address
1530 E 18th St Apt 1eBrooklyn, NY 11230-7243
Phone 347-236-3777
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