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Individual

MS. ANNA KRYUCHKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
17-02 LANDZETTEL WAY, FAIR LAWN, NJ 07410-5920
(347) 753-0973
Mailing address
17-02 LANDZETTEL WAY, FAIR LAWN, NJ 07410-5920
(347) 753-0973

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00954300
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00954300
NJ

Other

Enumeration date
08/28/2019
Last updated
08/28/2019
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