Individual
OKSANA PETSUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2318
Mailing address
1193 HOPE ST APT 4, STAMFORD, CT 06907-1634
(203) 918-3753
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
9219
CT
Other
Enumeration date
09/22/2020
Last updated
09/29/2020
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