Individual
IGOR YATSYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7905 GLENBROOK DR, BALDWINSVILLE, NY 13027-9492
(315) 720-4335
Mailing address
7905 GLENBROOK DR, BALDWINSVILLE, NY 13027-9492
(315) 720-4335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F357185-01
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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