Taras Petsyukh, RN - Registered Nurse in Ridgewood, NY

Taras Petsyukh, RN is a Registered Nurse - Pediatrics based in Ridgewood, New York. Taras Petsyukh is licensed to practice in New York (license number 670200) and his current practice location is 357 Onderdonk Ave # 2l, Ridgewood, New York. He can be reached at his office (for appointments etc.) via phone at (347) 243-2316.

NPI number for Taras Petsyukh is 1386072973 and his current mailing address is 357 Onderdonk Ave # 2l, Ridgewood, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386072973.

Contact Information

Taras Petsyukh, RN
357 Onderdonk Ave # 2l,
Ridgewood, NY 11385-1334
(347) 243-2316
Not Available

Map and Direction




Provider's Profile

Full NameTaras Petsyukh
GenderMale
SpecialityRegistered Nurse - Pediatrics
Location357 Onderdonk Ave # 2l, Ridgewood, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386072973
  • Provider Enumeration Date: 10/17/2013
  • Last Update Date: 10/17/2013

Medical Identifiers

Medical identifiers for Taras Petsyukh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386072973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 670200 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taras Petsyukh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taras Petsyukh, RN
357 Onderdonk Ave # 2l,
Ridgewood, NY 11385-1334

Ph: (347) 243-2316
Taras Petsyukh, RN
357 Onderdonk Ave # 2l,
Ridgewood, NY 11385-1334

Ph: (347) 243-2316

Reviews and Comments


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