Healthcare Provider Details

I. General information

NPI: 1174643456
Provider Name (Legal Business Name): LYUDMILA OSLON PEDIATRICS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15028 UNION TPKE STE 500
FLUSHING NY
11367-3900
US

IV. Provider business mailing address

15028 UNION TPKE STE 500
FLUSHING NY
11367-3900
US

V. Phone/Fax

Practice location:
  • Phone: 718-969-4357
  • Fax:
Mailing address:
  • Phone: 718-969-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. LYUDMILA OSLON
Title or Position: OWNER
Credential: M.D.
Phone: 718-969-4357