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Taras Vysotskyy
NPI 1962810036 · on the registry since 2014
Practice
- Address
- 45 Richmond Blvd
Unit 2a
Ronkonkoma, NY 11779 - Phone
- (516) 695-0112
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York