Individual
OLGA MYSZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 MURRAY ST, NEW YORK, NY 10007-2240
(212) 500-6582
(917) 970-8372
Mailing address
19 MURRAY ST, NEW YORK, NY 10007-2240
(212) 500-6582
(917) 970-8372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
305511
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
305511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305511
PHYSICIAN LICENSE
NY
Enumeration date
03/27/2017
Last updated
07/25/2023
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