Individual provider · Type 1 NPI
Evgeny Olenko, MD
Adult Medicine Physician · Forest Hills, NY
NPI number
1093891079
Active
Practice location
10537 64th Ave
Forest Hills, NY 11375-1645
Fax (718) 896-1596
Mailing address
105-37 64 Avenue
Forest Hills, NY 11375-1645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 145218 (NY) |
| Adult Medicine Physician Primary | 207QA0505X | 145218 (NY) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1093891079
Evgeny Olenko, MD's National Provider Identifier is 1093891079, issued on Oct 31, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 29, 2008.