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NPI Code Detail

MEDICARE: OLGA I IOF LMHC

MEDICARE: OLGA I IOF LMHC
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
1101YM0800XMental Health Counselor005252NY

General Provider Information

NPI Number : 1407292337
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA I IOF LMHC
Provider Business Mailing Address
First Line : 7409 37TH AVE
Second Line : 408
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6300
Country : US
Telephone Number : 718-779-2273
Fax Number : 718-779-2225
Provider Business Practice Location Address
First Line : 7409 37TH AVE
Second Line : 408
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6300
Country : US
Telephone Number : 718-779-2273
Fax Number : 718-779-2225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2013
Last Update Date : 02/11/2026

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