Provider Demographics
NPI:1831925486
Name:N TIHOMIROVS NP IN ADULT HEALTH PC
Entity type:Organization
Organization Name:N TIHOMIROVS NP IN ADULT HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADEJDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIHOMIROVS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:917-922-0929
Mailing Address - Street 1:2965 OCEAN PKWY FL 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8014
Mailing Address - Country:US
Mailing Address - Phone:718-360-0450
Mailing Address - Fax:718-303-7547
Practice Address - Street 1:2965 OCEAN PKWY FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8014
Practice Address - Country:US
Practice Address - Phone:718-360-0450
Practice Address - Fax:718-303-7547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty