HALYNA PETSUKH AGNP NPI 1831774801

NPI Information

  • NPI: 1831774801
  • Provider Name: HALYNA PETSUKH, AGNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 2758 OCEAN AVE APT 5C
    BROOKLYN, NY
    ZIP 11229
  • Phone: (347) 605-9794

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NPI Details

Halyna Petsukh, AGNP is an adult health nurse practitioner in Brooklyn, NY. Halyna Petsukh, AGNP NPI is 1831774801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2758 OCEAN AVE APT 5C
BROOKLYN, NY
ZIP 11229-761
Phone: (347) 605-9794

The enumeration date for this NPI number is 3/11/2021 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health310163NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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