Provider Demographics
NPI:1619559838
Name:HURSKAYA, KATSIARYNA (SPECIALIST)
Entity Type:Individual
Prefix:
First Name:KATSIARYNA
Middle Name:
Last Name:HURSKAYA
Suffix:
Gender:F
Credentials:SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 HUBBARD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6223
Mailing Address - Country:US
Mailing Address - Phone:646-415-1614
Mailing Address - Fax:
Practice Address - Street 1:2510 HUBBARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6223
Practice Address - Country:US
Practice Address - Phone:646-415-1614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist