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Nataliya Petlyuk

Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).

NPI number1457730004
StatusActive
Last updated in NPPESMay 28, 2015

Details

NPI
1457730004
Entity type
Individual (NPI-1)
Name
Nataliya Petlyuk
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2015
Last updated
May 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-9877

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-9877

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