MEDICARE: OLENA GUZHVA MD

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
1	207RR0500X	Rheumatology Physician	251871	NY
2	207RR0500X	Rheumatology Physician	MD036791	DC

General Provider Information

NPI Number	:	1174779359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLENA GUZHVA MD

Provider Business Mailing Address
First Line	:	PO BOX 426
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-0426
Country	:	US
Telephone Number	:	516-864-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 QUEENS ST
Second Line	:	STE 100
City	:	SYOSSET
State	:	NY
Zip	:	11791-3058
Country	:	US
Telephone Number	:	516-277-8490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	04/13/2017

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Directions to “ OLENA GUZHVA MD” Practice Location

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