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Individual
YEVGENIYA PESKOVA
Active
Individual
YEVGENIYA PESKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225X00000X
Occupational Therapist
019788-1
NY
225X00000X
Occupational Therapist
Primary
46TR00702800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100153269
MEDICARE PTAN
NY
Enumeration date
03/15/2016
Last updated
09/11/2026
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