Individual
IGOR CEMENYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 THOMPSON AVE APT B, WHITE PLAINS, NY 10603-3314
(718) 690-1178
Mailing address
19 THOMPSON AVE APT B, WHITE PLAINS, NY 10603-3314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403270
NY
Other
Enumeration date
11/25/2020
Last updated
03/10/2023
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