Individual
ANASTASIA PETUKHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
2148 OCEAN AVE, SUITE 302, BROOKLYN, NY 11229-1406
(718) 375-2505
(718) 375-2472
Mailing address
2148 OCEAN AVE, SUITE 302, BROOKLYN, NY 11229-1406
(718) 375-2505
(718) 375-2472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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