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NPI Code Detail

MEDICARE: OLGA LOSEVA DDS

MEDICARE:   OLGA  LOSEVA  DDS
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
11223G0001XGeneral Practice Dentistry039766 1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891983466
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA LOSEVA DDS
Provider Business Mailing Address
First Line : 30 W 61 ST
Second Line : APT 15A
City : BROOKLYN
State : NY
Zip : 11219
Country : US
Telephone Number : 718-854-6173
Fax Number :
Provider Business Practice Location Address
First Line : 4417 13TH
Second Line :
City : BROOKLYN
State : NY
Zip : 11214
Country : US
Telephone Number : 718-854-6173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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