Doctor Name: | OXANA MATSENKO |
NPI Number: | 1104080076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25 MA08273900 |
Business Practice Address: | 38-59 Dauria Dr Fair Lawn, NJ - 074105104 |
Business Phone Number: | 2016757821 |
Business Fax Number: | |
Mailing Address: | 38-59 Dauria Dr, FAIR LAWN |
State: | NJ |
Postal Code: | 074105104 |
Phone Number: | 2016757821 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 25 MA08273900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |