Individual
OLGA YUSHUVAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
228 GREENWAY RD, LIDO BEACH, NY 11561-4829
(347) 333-8040
(347) 507-9706
Mailing address
228 GREENWAY RD, LIDO BEACH, NY 11561-4829
(347) 333-8040
(347) 507-9706
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309298
NY
363LG0600X
Gerontology Nurse Practitioner
309298
NY
Other
Enumeration date
07/03/2019
Last updated
01/04/2026
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