Provider Demographics
NPI:1497177265
Name:TK BILLING, INC.
Entity Type:Organization
Organization Name:TK BILLING, INC.
Other - Org Name:TK BILLING, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHORDOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-621-1585
Mailing Address - Street 1:2310 65TH ST
Mailing Address - Street 2:APT 3C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4088
Mailing Address - Country:US
Mailing Address - Phone:718-621-1585
Mailing Address - Fax:
Practice Address - Street 1:2310 65TH ST
Practice Address - Street 2:APT 3C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4088
Practice Address - Country:US
Practice Address - Phone:718-621-1585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TK BILLING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========Medicaid