# OLEG PISMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952433849
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | N006201 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 00000822 | WA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 04/05/2016

## 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 | — |