Healthcare Provider Details

I. General information

NPI: 1750179644
Provider Name (Legal Business Name): OXANA VOLKOV
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 48TH ST
BROOKLYN NY
11219-2918
US

IV. Provider business mailing address

2530 W 2ND ST FL 2
BROOKLYN NY
11223-6233
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-1947
  • Fax: 718-635-7147
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number825630
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: