Provider Demographics
NPI:1932078078
Name:CRIM, TATIANA MARCHAY
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:MARCHAY
Last Name:CRIM
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 1:1783 E MAIN ST APT 12
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-5819
Mailing Address - Country:US
Mailing Address - Phone:330-815-6733
Mailing Address - Fax:
Practice Address - Street 1:1783 E MAIN ST APT 12
Practice Address - Street 2:APT 12
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-5819
Practice Address - Country:US
Practice Address - Phone:330-815-6733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHUJ1540633747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant