Provider Demographics
NPI:1720839210
Name:LAPKOVSKA, TETIANA
Entity type:Individual
Prefix:
First Name:TETIANA
Middle Name:
Last Name:LAPKOVSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 E 19TH ST APT 6C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7207
Mailing Address - Country:US
Mailing Address - Phone:929-484-9729
Mailing Address - Fax:
Practice Address - Street 1:1555 E 19TH ST APT 6C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7207
Practice Address - Country:US
Practice Address - Phone:929-484-9729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1791581241174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist