Search › New York › 133VN1006X

Tatiana Kidanov, MS,RD,CDN,CDCES

NPI 1871775171 · on the registry since 2007 · sole proprietor

Practice

Address
36 Borman Ave
Staten Island, NY 10314
Phone
(917) 721-4494

Registry record

Primary taxonomy
133VN1006X
133VN1006X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York