OLGA S PANKIV


Address: 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017
Phone: 7189136861

OLGA S PANKIV (NPI# 1831692136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831692136
Entity Type Individual
Full Name OLGA S PANKIV
Practice Address 545 5th Avenue Suite 817
545 5th Avenue Suite 817
New York
NY 10017
Mailing Address 37 E 28th St #700 Eureka Body Care and Spa
New York
NY 10016
Practice Telephone 7189136861
Mailing Telephone 2128580706
Enumeration Date 2018-03-13
Last Update Date 2019-04-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308322 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
37 E 28th St #700 Eureka Body Care and Spa, New York, NY 10016 2128580706
545 5th Ave Ste 5455th, New York, NY 100173609 7189136861 7199136168

Office Location

Street Address 545 5TH AVENUE SUITE 817
545 5TH AVENUE SUITE 817
City NEW YORK
State NY
Zip Code 10017

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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