Individual provider · Type 1 NPI

Mariya Kononenko, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1194352781 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Call (212) 241-6500 Map

Mailing address

17 E 102nd St
New York, NY 10029-5204

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X314774 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194352781

Mariya Kononenko, MD's National Provider Identifier is 1194352781, issued on Mar 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 2, 2022.