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NPI Code Detail

MEDICARE: ISABELLA OSMOLOVSKY

MEDICARE:   ISABELLA  OSMOLOVSKY
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
1183500000XPharmacist28RI03845900NJ

General Provider Information

NPI Number : 1518407626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA OSMOLOVSKY
Provider Business Mailing Address
First Line : 42 HANOVER AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3626
Country : US
Telephone Number : 646-824-2626
Fax Number :
Provider Business Practice Location Address
First Line : 42 HANOVER AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3626
Country : US
Telephone Number : 646-824-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 03/08/2017

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Directions to “ ISABELLA OSMOLOVSKY ” Practice Location

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