# OLSHANETSKIY AND GOUTOS MEDICINE, PC

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

## Provider details

- **NPI number:** 1871788802
- **Authorized official:** OLEG OLSHANETSKIY D.O. (OWNER)
- **Authorized official phone:** (718) 244-1644

## Contact information

- **Practice address:** 326 7TH ST, BROOKLYN, NY 11215-3311
- **Practice address phone:** (877) 275-3370
- **Practice address fax:** (631) 231-3331
- **Mailing address:** PO BOX 14008, HAUPPAUGE, NY 11788-0774
- **Mailing address phone:** (631) 231-0300
- **Mailing address fax:** (631) 231-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 08/05/2008