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NPI Code Detail

MEDICARE: OLGA LYUBAROV SLP

MEDICARE: OLGA LYUBAROV SLP
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
1235Z00000XSpeech-Language Pathologist014851NY

General Provider Information

NPI Number : 1598941239
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA LYUBAROV SLP
Provider Business Mailing Address
First Line : 2610 E 18TH ST
Second Line : SUITE 4
City : BROOKLYN
State : NY
Zip : 11235-3622
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2610 E 18TH ST
Second Line : SUITE 4
City : BROOKLYN
State : NY
Zip : 11235-3622
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 01/11/2008

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Directions to “ OLGA LYUBAROV SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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