# OLGA KHEYSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629540778
- **Authorized official:** OLGA KHEYSON MD (MD / PC OWNER)
- **Authorized official phone:** (917) 916-2457

## Contact information

- **Practice address:** 3371 RICHMOND AVE STE 1, STATEN ISLAND, NY 10312-2025
- **Practice address phone:** (917) 916-2457
- **Mailing address:** 9 MALLOW ST LOWR LEFT, STATEN ISLAND, NY 10309-1731
- **Mailing address phone:** (929) 203-9494
- **Mailing address fax:** (347) 983-6126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2018
- **Last updated:** 11/05/2025