NPI 1003407750

Nataliya Krayzman

Practitioner Medical Physician Assistant Wethersfield, CT

Practice location

Address: 40 Mayfield Rd, Wethersfield, CT 06109-3832
Phone: (860) 392-9897
Mailing address: 80 Seymour Street, Hartford, CT 06102-4037

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5246 (CT)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003407750
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2021
Record last updated: 14 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.