Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taras Petsyukh, RN

Individual provider Pediatric Registered Nurse · NPI 1386072973

Taras Petsyukh, RN is a Pediatric Registered Nurse in Ridgewood, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

357 Onderdonk Ave # 2L
Ridgewood, NY 11385-1334
Phone: (347) 243-2316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 670200 (NY)

Record details

NPI number1386072973
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 17, 2013
Last updated in NPPESOctober 17, 2013