National Provider Identifier Database

TATIANA KIDANOV, MS,RD,CDN,CDCES – NPI #1871775171
Nutrition, Metabolic

A registered dietitian who achieves specialized competency in metabolic nutrition.


Contact Information

TATIANA KIDANOV, MS,RD,CDN,CDCES
36 BORMAN AVE
STATEN ISLAND, NY10314-4957
Phone: 917-721-4494
Fax:
Website:
Specialty Taxonomy Code
* Nutrition, Metabolic 133VN1006X

* Indicates primary specialty

NPI Profile & details for TATIANA KIDANOV

NPI Number 1871775171
Credentials MS,RD,CDN,CDCES
Entity Individual
Enumeration date 11/29/2007
Last updated 03/17/2026 - About 3 months ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 006762
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TATIANA KIDANOV, MS,RD,CDN,CDCES

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