Individual provider · Type 1 NPI
Taras Petsyukh, RN
Pediatric Registered Nurse · Ridgewood, NY
NPI number
1386072973
Active
Practice location
357 Onderdonk Ave # 2L
Ridgewood, NY 11385-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 670200 (NY) |
Pediatric Registered Nurse: Definition to come...
About NPI 1386072973
Taras Petsyukh, RN's National Provider Identifier is 1386072973, issued on Oct 17, 2013. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Ridgewood, NY. The record was last updated on Oct 17, 2013.