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NPI Code Detail

MEDICARE: OLENA DOROSHENKO

MEDICARE: OLENA DOROSHENKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantP96342NY

General Provider Information

NPI Number : 1548638620
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLENA DOROSHENKO
Provider Business Mailing Address
First Line : 2301 BENSON AVE APT A21
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4266
Country : US
Telephone Number : 718-964-3822
Fax Number :
Provider Business Practice Location Address
First Line : 2301 BENSON AVE
Second Line : A21
City : BROOKLYN
State : NY
Zip : 11214-4249
Country : US
Telephone Number : 718-964-3822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 09/08/2015

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Directions to “ OLENA DOROSHENKO ” Practice Location

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