Individual
MARINA BYSHOVETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 ADMIRALTY LOOP, STATEN ISLAND, NY 10309-3964
(347) 902-9375
Mailing address
164 ADMIRALTY LOOP, STATEN ISLAND, NY 10309-3964
(347) 902-9375
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383190
NY
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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