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NPI Code Detail

MEDICARE: YULIA KUZMITSKAYA

MEDICARE: YULIA KUZMITSKAYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist059423NY

General Provider Information

NPI Number : 1497154801
Entity Type Code : Individual
Provider Name (Legal Business Name) : YULIA KUZMITSKAYA
Provider Business Mailing Address
First Line : 308 E 38TH ST APT 15D
Second Line :
City : NEW YORK
State : NY
Zip : 10016-9824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8512 20TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3202
Country : US
Telephone Number : 718-333-0395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 08/21/2014

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Directions to “ YULIA KUZMITSKAYA ” Practice Location

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