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Individual
DR. OLENA KSOVRELI
Active
Individual
DR. OLENA KSOVRELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221578
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177879
—
NY
01
—
047041
CT LICENCE
CT
01
—
221578
LICENSE
NY
01
—
CSP 0044740
DEPT. OF CONSUMER PROTECTION
CT
Enumeration date
02/21/2006
Last updated
03/07/2023
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