Provider Demographics
NPI:1033518782
Name:APANASYUK, ANASTASIYA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANASTASIYA
Middle Name:
Last Name:APANASYUK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:ANASTASIYA
Other - Middle Name:
Other - Last Name:APANASYUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:435 EAST 70TH STREET
Mailing Address - Street 2:APARTMENT 15L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5663
Mailing Address - Country:US
Mailing Address - Phone:917-328-3245
Mailing Address - Fax:
Practice Address - Street 1:120 MINEOLA BLVD STE 500
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4074
Practice Address - Country:US
Practice Address - Phone:516-663-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017840363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant