Individual
KATERYNA GAIDAMAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-5138
(732) 324-5139
Mailing address
36 SHELLEY RD, OLD BRIDGE, NJ 08857-3608
(215) 301-8873
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10602400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/21/2018
Last updated
11/24/2020
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