MEDICARE: MARYIA TRUKHAN RN

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
1	163W00000X	Registered Nurse	810031	NY

General Provider Information

NPI Number	:	1982559035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYIA TRUKHAN RN

Provider Business Mailing Address
First Line	:	1530 E 18TH ST APT 2E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 E 18TH ST APT 2E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-7259
Country	:	US
Telephone Number	:	347-977-3707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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