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Individual
OLEG PISMAN
Active
Individual
OLEG PISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006201
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 00000822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121894
GHI HMO
NY
01
—
000413920001
BLUE SHIELD
NY
01
—
0174899
GHI PPO
NY
05
—
02926130
—
NY
01
—
10128382
CDPHP
NY
01
—
2850709
UNITEDHEALTHCARE
NY
01
—
4159492
MVP
NY
01
—
9692074
AETNA
NY
01
—
P00427572
RAILROAD MEDICARE
—
Enumeration date
03/09/2007
Last updated
04/05/2016
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