Individual provider · Type 1 NPI
Halyna Petsukh, AGNP
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1831774801
Active
Practice location
2758 Ocean Ave Apt 5C
Brooklyn, NY 11229-4761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310163 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1831774801
Halyna Petsukh, AGNP's National Provider Identifier is 1831774801, issued on Mar 11, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 11, 2021.