Physician Compare National (NPI:1730274176)

HEALTHCARE PROVIDER: YAROSLAV KUSHNIR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730274176
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052586575
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111213000071
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KUSHNIR
	Individual professional last name
Provider First Name	YAROSLAV
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GERIATRIC PSYCHIATRY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE, GERIATRIC PSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	709 3RD ST
	Group Practice or individual's line 1 address
City	CHULA VISTA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	919105803
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y