Provider Demographics
NPI:1275266454
Name:HLUSHAN, VERANIKA (PA)
Entity Type:Individual
Prefix:
First Name:VERANIKA
Middle Name:
Last Name:HLUSHAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ORIENTAL BLVD APT 9L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4912
Mailing Address - Country:US
Mailing Address - Phone:347-988-5445
Mailing Address - Fax:
Practice Address - Street 1:65 ORIENTAL BLVD APT 9L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4912
Practice Address - Country:US
Practice Address - Phone:347-988-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant