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Individual
DR. MARIYA SHTUCHKO
Active
Individual
DR. MARIYA SHTUCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049895-01
NY
2251G0304X
Geriatric Physical Therapist
049895-01
NY
2251P0200X
Pediatric Physical Therapist
049895-01
NY
Other
Enumeration date
12/12/2022
Last updated
12/13/2022
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