Provider Demographics
NPI:1164863890
Name:TAMILA SELITSKY OB-GYN PC
Entity Type:Organization
Organization Name:TAMILA SELITSKY OB-GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHLEMINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-680-4800
Mailing Address - Street 1:660 92ND ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3621
Mailing Address - Country:US
Mailing Address - Phone:718-680-4800
Mailing Address - Fax:718-680-2400
Practice Address - Street 1:660 92ND ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3621
Practice Address - Country:US
Practice Address - Phone:718-680-4800
Practice Address - Fax:718-680-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234424174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty