Provider Demographics
NPI:1851945703
Name:KALETSCH, TATIANA ELIZABETH (NBC-HWC)
Entity Type:Individual
Prefix:MRS
First Name:TATIANA
Middle Name:ELIZABETH
Last Name:KALETSCH
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 59TH ST APT 13C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2589
Mailing Address - Country:US
Mailing Address - Phone:917-242-5244
Mailing Address - Fax:
Practice Address - Street 1:205 E 59TH ST APT 13C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2589
Practice Address - Country:US
Practice Address - Phone:917-242-5244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator