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Individual
MAYA TSYSINA
Active
Individual
MAYA TSYSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
MD064388L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016764630005
—
PA
05
—
01676463
—
PA
01
—
0474006000
KEYSTONE IBC
PA
01
—
16472MD064388L
HEALTH PARTNERS
PA
01
—
2033599
AETNA
PA
01
—
30079885
KEYSTONE MERCY
PA
01
—
520408
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/15/2006
Last updated
09/27/2011
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