Dr. Michael Tyshkov
MD | Pediatric Gastroenterology | Male
Dr. Michael Tyshkov, MD is a Staten Island, New York based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Michael Tyshkov is
584 Forest Ave, Staten Island, New York - 10310-2512. He can be contacted on phone at
718-226-5619 and fax number 718-226-5620.
Dr. Michael Tyshkov is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael Tyshkov is
1902882038 which was assigned by NPPES on 20 Dec, 2005 and it was last updated on 31 Dec, 2008.
Dr. Michael Tyshkov license number is
180877 for Pediatrics Pediatric Gastroenterology (2080P0206X) in New York.
Dr. Michael Tyshkov specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Michael Tyshkov basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Michael Tyshkov |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Michael Tyshkov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 584 Forest Ave
Staten Island, NY, 10310-2512
United States |
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| Phone Number : | 718-226-5619 |
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| Fax Number : | 718-226-5620 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902882038 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Dec, 2005 |
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| Last Updated On : | 31 Dec, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Tyshkov are as mentioned. Primary taxonomy code for Dr. Michael Tyshkov, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 180877 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael Tyshkov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 5341400 | MEDICAID | NJ | |
| 01268262 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Edgewater St, 6th Fl. Payer Relations
Staten Island, NY, 10305-4900
United States |
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| Phone Number : | 718-226-1008 |
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| Fax Number : | 718-226-1039 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael Tyshkov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.