Tatiyana Bredin
Individual provider Active NPI Registered Nurse · Haverstraw, NY
NPI 1073836086 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1073836086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 558627 (NY)
- Practice address
- 1 Bridge LN
Haverstraw, NY 10927-2109 - Phone
- (845) 271-4000
- NPI assigned
- Mar 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 558627 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 558627 | NY | Yes |
Addresses
Primary practice location
1 Bridge LN
Haverstraw, NY 10927-2109
Mailing address
1 Bridge LN
Haverstraw, NY 10927-2109
Phone (845) 271-4000
Other providers in Haverstraw, NY
- Mary F Barrett
- Sarah Bergstein Teixeira
- Paul B Bloom
- Wendy Boisrond
- Dania Boncoeur
- Gilbert C Carlevaro Jr.
- Jahaira Castro
- Centro de Amigos, LLC
- Susan Jacob Cherian
- Choice Home Care Co Inc
All providers in Haverstraw, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.