Individual
TETYANA POLISHCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2 JOURNAL SQUARE PLZ STE 2, JERSEY CITY, NJ 07306-4001
(551) 325-2442
Mailing address
12 CEDAR ST, JERSEY CITY, NJ 07305-4844
(917) 478-8970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15127300
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ15127300
NJ
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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