Healthcare Provider Details

I. General information

NPI: 1992858484
Provider Name (Legal Business Name): PIOTR OLKOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 LAFAYETTE ST SUITE 238
SCHENECTADY NY
12305-2408
US

IV. Provider business mailing address

216 LAFAYETTE ST
SCHENECTADY NY
12305-2408
US

V. Phone/Fax

Practice location:
  • Phone: 518-377-9151
  • Fax: 518-377-9151
Mailing address:
  • Phone: 518-243-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number209812
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: