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Individual

VADIM WILLIAM ZHUSHMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6829
Mailing address
3503 BEECHWOOD BLVD, PITTSBURGH, PA 15217-2980
(315) 941-5652

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
733534-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
733534
NY

Other

Enumeration date
11/19/2019
Last updated
08/14/2023
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