Individual
MISS ZINOVIYA PETRYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
347 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2744
(973) 571-2121
Mailing address
41 CENTER ST, CLIFTON, NJ 07011-3901
(201) 725-4963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00290700
NJ
Other
Enumeration date
10/01/2012
Last updated
09/25/2013
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