Provider Demographics
NPI:1851953467
Name:PASHUKYANTS, ARTEM (NP)
Entity Type:Individual
Prefix:MR
First Name:ARTEM
Middle Name:
Last Name:PASHUKYANTS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 6TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3608
Mailing Address - Country:US
Mailing Address - Phone:929-470-9600
Mailing Address - Fax:718-780-5545
Practice Address - Street 1:515 6TH ST FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3608
Practice Address - Country:US
Practice Address - Phone:929-470-9600
Practice Address - Fax:718-780-5545
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily