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NPI Code Detail

MEDICARE: OLGA VENGER M.D.

MEDICARE: OLGA VENGER M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician313719NY

General Provider Information

NPI Number : 1376997494
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA VENGER M.D.
Provider Business Mailing Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-858-7200
Fax Number :
Provider Business Practice Location Address
First Line : 265 ASHLAND PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1661
Country : US
Telephone Number : 718-858-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2016
Last Update Date : 05/13/2025

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