Individual
YURIY BORTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
172 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(347) 200-0024
Mailing address
PO BOX 350710, BROOKLYN, NY 11235-0710
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
635019
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402243
NY
Other
Enumeration date
07/08/2013
Last updated
10/12/2020
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