Tetyana Pustovit

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

16442 Issued in NY

Practice address

1580 Dahill Rd
2 Floor
Brooklyn, NY 11204-3537

Phone

(718) 375-2505

Fax

(718) 375-2472

NPI assigned

Jun 12, 2012

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

State licenses

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1659633048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 DAHILL RD",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043537",
            "telephone_number": "718-375-2505",
            "fax_number": "718-375-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 DAHILL RD",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043537",
            "telephone_number": "718-375-2505",
            "fax_number": "718-375-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTOVIT",
        "first_name": "TETYANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "16442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Pushkanzer, LNHA
• Pushpa R. Bhansali, Physician, P.C.
• Amulya Namburu Puskoor
• Anoop Venkat Puskoor, MD
• Urszula Barbara Pustelak, M.D.
• Irena Pustylnik-Slyuseransky, PHARMD
• Raisa Pustylnikov, M.D.
• Philip Joseph Puthumana, M.D.
• Marine Pascale Putman
• William Erskine Putman, M.D., FACP

• Case Manager/Care Coordinator in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.