National Provider Identifier

Tatyana Broshchak

Tatyana Broshchak is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Webster, NY and a listed phone number of (585) 217-2750.

NPI 1013345800Webster, NYLicensed Practical Nurse

Profile Overview

NPI
1013345800
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 15, 2013
Last Updated
October 15, 2013

Practice Location

  • 1475 Ice Pond Way
  • Webster, NY 14580-9630

Phone: (585) 217-2750

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1013345800
Entity Type
Individual
Last Name
Broshchak
First Name
Tatyana
Mailing Street Address
1475 Ice Pond Way
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-9630
Mailing Country
US
Mailing Phone
(585) 217-2750
Practice Street Address
1475 Ice Pond Way
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-9630
Practice Country
US
Practice Phone
(585) 217-2750
Enumeration Date
October 15, 2013
Last Updated
October 15, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)