Healthcare Provider Details

I. General information

NPI: 1376502930
Provider Name (Legal Business Name): OLGA A GULINSKY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLGA A GULINSKAYA MD

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVENUE
CLEVELAND OH
44106
US

IV. Provider business mailing address

24701 EUCLID AVE 3RD FLOOR
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number35-050983
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: