Tetyana Gorodetskaya

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008817 Issued in NY

Practice address

1414 Newkirk Ave
Brooklyn, NY 11226-6599

Phone

(718) 710-3010

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1245892256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OCEAN PKWY APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NEWKIRK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266599",
            "telephone_number": "718-710-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORODETSKAYA",
        "first_name": "TETYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "008817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deep Kanth Gorla, MD
• Maria Gorlov
• Cynthia Gorman, L.AC
• Kathleen Mary Gormley
• Olga Gornostay, PHARMD, RPH
• Yevgeniya Gorodetskaya, LCSW
• Yevgeniya Gorodetskaya, MSED
• Elina Gorodetsky, SLP
• Rina Gorodetsky, MD
• Adele N/a Gorodin

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.