Individual
MARINA WASYLYSHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 COURT ST STE 2, BINGHAMTON, NY 13901-3236
(607) 770-4071
Mailing address
PO BOX 718, JOHNSON CITY, NY 13790-0718
(607) 770-4071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
NY193327
NY
2086X0206X
Surgical Oncology Physician
Primary
NY193327
NY
Other
Enumeration date
11/09/2005
Last updated
02/28/2018
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