Provider Demographics
NPI:1316932015
Name:TEN, SVETLANA B (MD)
Entity type:Individual
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First Name:SVETLANA
Middle Name:B
Last Name:TEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:77 WHITMAN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3226
Mailing Address - Country:US
Mailing Address - Phone:718-228-8500
Mailing Address - Fax:718-228-8500
Practice Address - Street 1:2691 HYLAN BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4357
Practice Address - Country:US
Practice Address - Phone:718-228-8500
Practice Address - Fax:718-228-8500
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2020-01-08
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Provider Licenses
StateLicense IDTaxonomies
NY2399692080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001640-A15OtherHEALTH FIRST
NY132690101OtherHEALTH PLUS
NY3X2442OtherEMPIRE BCBS
NY4C3502OtherHEALTH NET
NY7810367OtherAETNA PPO
NY001640OtherHIP
NY2213288 02OtherUNITED HEALTH CARE
NYTS1640OtherATLANTIS HEALTH
NY0100704-02OtherAMERICHOICE
NY02350558Medicaid
NY2697546OtherGHI
NYP2671194OtherOXFORD HEATLH PLAN
NY3058406OtherAETNA USHC HMO
NYH74138Medicare UPIN
NYP2671194OtherOXFORD HEATLH PLAN