Individual
DR. KSENIYA SLOBODYANYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
291981-1
NY
207R00000X
Internal Medicine Physician
Primary
80192
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2014
Last updated
07/01/2025
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