Tetyana Sushchak, PA

NPI #1588022305 in Lindenhurst, New York

Provider Information

NPI Number: 1588022305
Entity Type: Individual
Name: Tetyana Sushchak, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 8, 2016
Last Updated: Jan 6, 2017

Practice Location

Address: 290 S WELLWOOD AVE
City: Lindenhurst
State: New York
ZIP Code: 11757-4903
Phone: (631) 225-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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