Individual provider · Type 1 NPI

Michael Tyshkov, MD

Pediatric Gastroenterology Physician · Staten Island, NY

NPI number 1902882038 Active

Practice location

584 Forest Ave
Staten Island, NY 10310-2512

Call (718) 226-5619 Map

Fax (718) 226-5620

Mailing address

1 Edgewater St, 6th Fl. Payer Relations
Staten Island, NY 10305-4900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Gastroenterology Physician Primary 2080P0206X180877 (NY)

Pediatric Gastroenterology Physician: A pediatrician who 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.

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About NPI 1902882038

Michael Tyshkov, MD's National Provider Identifier is 1902882038, issued on Dec 20, 2005. The primary taxonomy on file is Pediatric Gastroenterology Physician (2080P0206X), and the practice location is in Staten Island, NY. The record was last updated on Dec 31, 2008.