Provider Demographics
NPI:1538488861
Name:TARNOVETSKYY, NELYA (MD)
Entity Type:Individual
Prefix:DR
First Name:NELYA
Middle Name:
Last Name:TARNOVETSKYY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:150 55TH ST
Mailing Address - Street 2:SUITE 3524
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2508
Mailing Address - Country:US
Mailing Address - Phone:718-630-7189
Mailing Address - Fax:718-630-8594
Practice Address - Street 1:150 55TH ST
Practice Address - Street 2:SUITE 3524
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2559
Practice Address - Country:US
Practice Address - Phone:718-630-7000
Practice Address - Fax:718-630-8594
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
NY2731792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry