Individual
NATALYA KUSHELEVA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9767
Mailing address
105 DOGWOOD LN, STATEN ISLAND, NY 10305-2812
(718) 981-6846
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006516
NY
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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