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MBD CARE LLC
NPI 1538042650
Clinic/Center in Staten Island, NY

Active since July 28, 2025
3350 VICTORY BLVD, STATEN ISLAND, NY 10314(917) 721-4494 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mbd Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MBD CARE LLC (NPI 1538042650) is a healthcare organization registered as a clinic/center in Staten Island, New York and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Brooklyn and lists Tatiana Kidanov, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1538042650
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMBD CARE LLC
Location Address3350 VICTORY BLVDStaten Island, NY 10314-6792
Mailing Address36 Borman AveStaten Island, NY 10314-4957 · (917) 721-4494
Phone(917) 721-4494
Organization SubpartNo
Authorized OfficialTatiana KidanovOwner/managing Member · (917) 721-4494
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1538042650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3350 VICTORY BLVD, Staten Island, NY 10314
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Secondary Practice Location 1

Location 11721 86th StBrooklyn, NY 11214-2817 · Phone (917) 721-4494

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY MEDICAL CARE, PC
Allergy & Immunology (Allergy)
3350 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 551-1580
SCIOMETRIX INC
General Practice
3350 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (860) 335-5064
DR. JOSEPH F D'AMORE M.D.
Allergy & Immunology
3350 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 551-1580
NATALLIA KLESHCHANKA FNP
Nurse Practitioner (Family)
3350 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (347) 672-0805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mbd Care LLC's NPI number?

The NPI number for Mbd Care LLC is 1538042650. It was assigned to this organization in the NPPES registry on July 28, 2025.

Where is Mbd Care LLC located?

Mbd Care LLC is located at 3350 Victory Blvd, Staten Island, NY 10314. The listed phone number is (917) 721-4494.

What is Mbd Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mbd Care LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.