Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARAS PETSYUKH, RN
ActiveTARAS PETSYUKH, RN is a Pediatric Nurse healthcare provider located in RIDGEWOOD, New York. NPI 1386072973 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · RIDGEWOOD, NY
Registration Details
- NPI Number
- 1386072973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2013 (12.857002047011 yrs)
- Last Updated
- Oct 17, 2013
- License
-
670200 (NY)
Practice Information
- Address
-
357 ONDERDONK AVE # 2LRIDGEWOOD, NY, 113851334Browse NY providers · Browse ZIP 11385
- Phone
- 3472432316
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.