Individual provider · Type 1 NPI

Alexandra Panyukova, MD

Student in an Organized Health Care Education/Training Program · Waterbury, CT

NPI number 1639850068 Active

Practice location

160 Robbins St
Waterbury, CT 06708-2652

Call (203) 573-7284 Map

Fax (203) 573-7031

Mailing address

64 Robbins St
Waterbury, CT 06708-2600

Specialties and licenses

TaxonomyCodeLicense
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 1639850068

Alexandra Panyukova, MD's National Provider Identifier is 1639850068, issued on Jul 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 27, 2023.