Evgeny Olenko
Family Doctor - Adult Medicine
10537 64th Ave
Forest Hills
, New York 11375-1645
Evgeny Olenko
Family Doctor - Adult Medicine
10537 64th Ave
Forest Hills
, New York 11375-1645
(718) 896-1596
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Evgeny Olenko
- 105-37 64 Avenue
- Forest Hills, NY
- Zip : 11375-1645
- Fax : (718) 896-1596
- Phone : (718) 459-0111
Second Address
- Evgeny Olenko
- 10537 64th Ave
- Forest Hills, NY
- Zip : 11375-1645
- Fax : (718) 896-1596
- Phone : (718) 459-0111
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Is Evgeny Olenko a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 145218 | NY |
National Provider Identifier
| NPI | 1093891079 |
|---|---|
| Provider Name | Evgeny Olenko |
| First Address | Forest Hills, NY 11375-1645 |
| Second Address | Forest Hills, NY 11375-1645 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 29/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00736250 | (05) | NY |
| B88531 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.