HALYNA PETSUKH AGNP
NPI 1831774801
Nurse Practitioner - Adult Health in Brooklyn, NY

Q: What is Halyna Petsukh's NPI number?

The NPI number for Halyna Petsukh is 1831774801. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Q: What is Halyna Petsukh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Halyna Petsukh was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2021

2758 OCEAN AVE APT 5C, BROOKLYN, NY 11229(347) 605-9794 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Halyna Petsukh Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALYNA PETSUKH AGNP (NPI 1831774801) is an individual adult health provider in Brooklyn, New York, licensed in New York (310163) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1831774801

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameHALYNA PETSUKHCredential: AGNP

Location Address2758 OCEAN AVE APT 5CBrooklyn, NY 11229-4761

Mailing Address2758 Ocean Ave Apt 5cBrooklyn, NY 11229-4761 · (347) 605-9794

Phone(347) 605-9794

Sole ProprietorYes

Enumeration DateMarch 11, 2021

NPPES CertifiedMarch 11, 2021

✔ NPI 1831774801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310163

2758 OCEAN AVE APT 5C, Brooklyn, NY 11229

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Halyna Petsukh's NPI number?

The NPI number for Halyna Petsukh is 1831774801. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Halyna Petsukh located?

Halyna Petsukh practices at 2758 Ocean Ave Apt 5C, Brooklyn, NY 11229. The listed phone number is (347) 605-9794.

What is Halyna Petsukh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Halyna Petsukh was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.