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1831774801
HALYNA PETSUKH
BROOKLYN, NY
NPI
1831774801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 310163)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
HALYNA PETSUKH AGNP
2758 OCEAN AVE APT 5C
BROOKLYN, NY 11229-4761
Phone number: 347-605-9794
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Mailing Address
HALYNA PETSUKH AGNP
2758 OCEAN AVE APT 5C
BROOKLYN, NY 11229-4761
Phone number: 347-605-9794
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