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Individual
THERESA OLEKSYN
Active
Individual
THERESA OLEKSYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02198570
MEDICAID GROUP
NY
01
—
70000A
MEDICARE GROUP
NY
Enumeration date
07/28/2008
Last updated
04/05/2013
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