MEDICARE: DR. OLEG BARSHAY D.C.

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	111NI0900X	Internist Chiropractor	X007419	NY
2	225100000X	Physical Therapist	030921	NY

General Provider Information

NPI Number	:	1538104187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLEG BARSHAY D.C.

Provider Business Mailing Address
First Line	:	2518 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3916
Country	:	US
Telephone Number	:	718-934-5395
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3916
Country	:	US
Telephone Number	:	718-934-5395
Fax Number	:

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	12/03/2008

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