# IRINA GUTSALYUK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073522942
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA9109303 | FL | Yes |
| 363AS0400X | Surgical Physician Assistant | 009810-1 | NY | — |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 07/03/2025