Individual
TAISIA VITKOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6 OHIO DR, SUITE 202, NEW HYDE PARK, NY 11042
(516) 304-7295
Mailing address
6 OHIO DR, SUITE 202, NEW HYDE PARK, NY 11042-1124
(516) 304-7295
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
272384
NY
Other
Enumeration date
12/03/2013
Last updated
06/05/2018
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