National Provider Identifier
Andrey Takhtovich
Andrey Takhtovich is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Elmira, NY and a listed phone number of (607) 795-8035.
Profile Overview
- NPI
- 1942707583
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 10, 2018
- Last Updated
- September 07, 2021
Practice Location
- 555 Saint Josephs Blvd
- Elmira, NY 14901-3223
Phone: (607) 795-8035
Mailing Address
- 92 Stonehurst Dr
- Tenafly, NJ 07670-2917
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1942707583
- Entity Type
- Individual
- Last Name
- Takhtovich
- First Name
- Andrey
- Mailing Street Address
- 92 Stonehurst Dr
- Mailing City
- Tenafly
- Mailing State
- NJ
- Mailing ZIP Code
- 07670-2917
- Mailing Country
- US
- Mailing Phone
- (201) 227-8598
- Practice Street Address
- 555 Saint Josephs Blvd
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3223
- Practice Country
- US
- Practice Phone
- (607) 795-8035
- Enumeration Date
- April 10, 2018
- Last Updated
- September 07, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)