Oksana Petsukh
Nurse Practitioner - Neonatal
20 York St
New Haven
, Connecticut 06510-3220
Oksana Petsukh
Nurse Practitioner - Neonatal
20 York St
New Haven
, Connecticut 06510-3220
(203) 918-3753
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Oksana Petsukh
- 1193 Hope St Apt 4
- Stamford, CT
- Zip : 06907-1634
- Phone : (203) 918-3753
Second Address
- Oksana Petsukh
- 20 York St
- New Haven, CT
- Zip : 06510-3220
- Phone : (203) 688-2318
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 9219 | CT |
National Provider Identifier
| NPI | 1093321234 |
|---|---|
| Provider Name | Oksana Petsukh |
| First Address | Stamford, CT 06907-1634 |
| Second Address | New Haven, CT 06510-3220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2020 |
| Last Update Date | 29/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.