Olga A Burzyantseva M.D.

NPI 1104072586 - Specialist - 174400000X

NPI Details
NPI 1104072586
Gender Female
Enumeration Date 08/17/2008
Last Updated 08/26/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
STE 2701
KEW GARDENS NY, 11415-1519, US
Phone (718) 261-0444
Fax (718) 261-0940
Business Location
PO BOX 9608
UNIONDALE NY, 11555-9608, US
Phone (718) 261-0444
Fax (718) 261-0940
Taxonomy Code 174400000X
License State
License Number
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According to our database, Olga A Burzyantseva M.D. NPI is 1104072586, taxonomy code is 174400000X Olga A Burzyantseva M.D. physically located at 12510 Queens Blvd, Kew Gardens NY, 11415-1519. NPI Number Olga A Burzyantseva M.D. has the Individual type.

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1104072586 NPI number is provided on an as is basis without warranty of any kind. 1104072586 is maintained by the National Plan & Provider Enumeration System. The contents of Olga A Burzyantseva M.D. are for informational purposes only.