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Individual

YURIY PASISNICHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3180 S OCEAN DR APT 1020, HALLANDALE BEACH, FL 33009-7251
(718) 250-6604
Mailing address
3180 S OCEAN DR APT 1020, HALLANDALE BEACH, FL 33009-7251

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME150604
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA13036900
NJ
208M00000X
Hospitalist Physician
ME150604
FL

Other

Enumeration date
04/03/2018
Last updated
05/07/2026
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