Provider Demographics
NPI:1336154079
Name:TSATSKIN, FELIKS (MD)
Entity Type:Individual
Prefix:
First Name:FELIKS
Middle Name:
Last Name:TSATSKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2634
Mailing Address - Country:US
Mailing Address - Phone:718-377-8800
Mailing Address - Fax:718-951-1122
Practice Address - Street 1:515 AVENUE I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2634
Practice Address - Country:US
Practice Address - Phone:718-377-8800
Practice Address - Fax:718-951-1122
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221705208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02182754Medicaid
NYH47965Medicare UPIN