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1588022305
TETYANA SUSHCHAK
LINDENHURST, NY
NPI
1588022305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019412-1)
Enumeration Date
2016-02-08
Last Update Date
2017-01-06
Business Address
TETYANA SUSHCHAK PA
290 S WELLWOOD AVE
LINDENHURST, NY 11757-4903
Phone number: 631-225-2999
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Mailing Address
TETYANA SUSHCHAK PA
290 S WELLWOOD AVE
LINDENHURST, NY 11757-4903
Phone number: 631-225-2999
Copy
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