Individual
MARIYA MASYUKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
8 E 3RD ST FL 2, NEW YORK, NY 10003-8908
(212) 533-8400
(212) 505-8890
Mailing address
8 E 3RD ST FL 2, NEW YORK, NY 10003-8908
(212) 533-8400
(212) 505-8890
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
294201
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2015
Last updated
10/10/2023
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