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Individual

DR. KSENIYA PETROVA-DRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D, PH.D.

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-7532
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
277684
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
277684
NY

Other

Enumeration date
07/23/2013
Last updated
10/17/2017
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