Tatiana a Pavlova MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

224668 Issued in NY

Legal business name

TATIANA A PAVLOVA MD

Practice address

4738 Broadway
New York, NY 10040-1103

Phone

(212) 569-5331

Fax

(212) 569-5330

NPI assigned

Dec 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tatiana A Pavlova, MD, PHD

Title

Medical Director

Phone

(212) 569-5330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1235408576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401103",
            "telephone_number": "212-569-5330",
            "fax_number": "212-569-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401103",
            "telephone_number": "212-569-5331",
            "fax_number": "212-569-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA A PAVLOVA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "PAVLOVA",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-569-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "224668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Tate
• Tyra Tate, LPC
• William J Tate, MD
• Yolanda Tate
• Christopher Arthur Tatem, PA
• Tatiana a Pavlova-Greenfield Physician PC
• Tatiana Borinos DDS PC
• Tatiana Pavlova Physician PLLC
• Tatiana Poddoubnaia, L.Ac.
• Tatiana Ryk Friedman, PH.D., LLC

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.