Provider Demographics
NPI:1710602552
Name:ZARKHINA, TANYA
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:ZARKHINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2961 BRIGHTON 3RD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8552
Mailing Address - Country:US
Mailing Address - Phone:347-587-2977
Mailing Address - Fax:
Practice Address - Street 1:1117 BRIGHTON BEACH AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5999
Practice Address - Country:US
Practice Address - Phone:877-398-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine