Tatiana Zinchuk, | |
2800 Main St, Bridgeport, CT 06606-4201 | |
(203) 576-6000 | |
Not Available |
Full Name | Tatiana Zinchuk |
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Gender | Female |
Speciality | Pediatrics |
Location | 2800 Main St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093700619 | NPI | - | NPPES |
10450881 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 210743 (New York) | Secondary |
208000000X | Pediatrics | 036575 (Connecticut) | Primary |
Entity Name | St. Vincent's Multispecialty Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
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Tatiana Zinchuk, 46 Hop Brook Rd, Brookfield, CT 06804-1326 Ph: (203) 775-3810 | Tatiana Zinchuk, 2800 Main St, Bridgeport, CT 06606-4201 Ph: (203) 576-6000 |
Jane Jeehyun Kwon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3715 Main St, Bridgeport, CT 06606 Phone: 203-371-7111 Fax: 203-372-5636 | |
Joanna Zolkowski-wynne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829 | |
Dr. Dara Thomas Richards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 968 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 Fax: 203-339-7190 | |
Dr. Andrea B Hagani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Main St, Suite 215, Bridgeport, CT 06606 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Benjamin H Tsang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-968-0673 | |
Mr. Joseph Albert Vitterito Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 Fax: 860-545-8945 |