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Individual
VIRA KOMENDYAK
Active
Individual
VIRA KOMENDYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
628539
NY
363LG0600X
Gerontology Nurse Practitioner
F309299-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405618-01
NY
Other
Enumeration date
04/06/2011
Last updated
10/06/2024
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