DARYA KORSHUKOVA


Address: 5141 Broadway, New York, NY 10034-1159
Phone: 2129324000

DARYA KORSHUKOVA (NPI# 1508497884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508497884
Entity Type Individual
Full Name DARYA KORSHUKOVA
Credential PA-C
Practice Address 5141 Broadway
New York
NY 10034-1159
Mailing Address 1854 Aberdeen Dr
Glenview
IL 60025-7600
Practice Telephone 2129324000
Enumeration Date 2020-01-27
Last Update Date 2020-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1168777 Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5141 BROADWAY
City NEW YORK
State NY
Zip Code 10034-1159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780677427 Donald Matthew Kim Internal Medicine 5141 Broadway, Rm 2-095, New York, NY 10034-1159 2005-08-29
1063011534 Rabiah Arooj Toppa Physician Assistant 5141 Broadway, New York, NY 10034-1159 2020-10-25
1952900599 Renee Elizabeth Alexander Physician Assistant 5141 Broadway, New York, NY 10034-1159 2020-10-24
1548870967 Julie Abraham Occupational Therapist 5141 Broadway, New York, NY 10034-1159 2020-08-01
1215551312 Alana Ruth Ribowsky Registered Nurse 5141 Broadway, New York, NY 10034-1159 2020-06-04
1508492588 Joshua Silberbush Registered Nurse 5141 Broadway, New York, NY 10034-1159 2020-03-21
1760015275 Susan Marie Konish Nurse Practitioner 5141 Broadway, New York, NY 10034-1159 2020-02-13
1447896196 Diana Kim Pharmacist 5141 Broadway, New York, NY 10034-1159 2019-11-18
1386289007 Elizabeth Catherine Medina Registered Nurse 5141 Broadway, New York, NY 10034-1159 2019-11-18
1376192229 Hunter Coppes Physician Assistant 5141 Broadway, New York, NY 10034-1159 2019-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649812512 Vilma Lantigua Physician Assistant 90 Vermilyea Ave #139, New York, NY 10034 2019-10-11
1477037125 Alexa Paige Ruffino Physician Assistant 5105 Broadway, New York, NY 10034 2018-09-19
1821514456 Chinara M Tate Dietitian, Registered 520 W 218th Street, Apt 3a, New York, NY 10034 2017-08-15
1770006165 Brittany Palmer Speech-Language Pathologist 10 Park Ter E Apt 4l, New York, NY 10034 2017-07-18
1457891947 Easy Choice Agency Home Health 3863 10th Avenue, Ny, NY 10034 2017-03-02
1598114738 Kent Haina Jr. Nurse Anesthetist, Certified Registered 133 Seaman Ave Apt 5a, New York, NY 10034 2016-06-08
1902274756 Rosa Ma Caram Early Intervention Provider Agency 601 Kappock St., Apt. 4e, Bronx, NY 10034 2015-09-10
1104232040 Michael Kwakye General Practice 5030 Broadway Ste 816, New York, NY 10034 2014-07-10
1619389624 Jay Steven Reidler Orthopaedic Surgery Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 2014-05-25
1467718247 Sherman Medical Care, PC Internal Medicine 231 Sherman Ave, 1f, New York, NY 10034 2012-04-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205442852 Connor King Physician Assistant 25 W 16th St, New York, NY 10011-6364 2020-09-18
1043826084 Stephen Roa Physician Assistant 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 2020-09-16
1710592951 Krishna Patel Physician Assistant 425 W 59th St Ste 4f, New York, NY 10019-8022 2020-09-14
1235744764 Jennifer Thien Trang Vu Physician Assistant 550 W 45th St Apt 233, New York, NY 10036-3771 2020-09-11
1609480987 Kimberly Ann Oppenheim Physician Assistant 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 2020-09-03
1043829252 Bridget Maginity Physician Assistant 1283 York Ave 14th Floor, New York, NY 10065 2020-07-24
1952928459 Judy Phung Physician Assistant 1 Pace Plz, New York, NY 10038-1502 2020-06-30
1417579871 Mary Elizabeth Walsh Physician Assistant 1790 Broadway Fl 8, New York, NY 10019-1412 2020-05-08
1134748874 Andrew Nitz Physician Assistant 50 W 34th St Apt 20b6, New York, NY 10001-3092 2020-04-13
1134758691 Morgan Ammori Physician Assistant 570 Lexington Ave Fl 9, New York, NY 10022-6710 2020-04-06
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Competitor

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City NEW YORK
Zip Code 10034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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