Individual
OLGA GAVARUKHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 KINGS HWY STE 1, BROOKLYN, NY 11223-1722
(718) 612-7999
Mailing address
427 KINGS HWY STE 1, BROOKLYN, NY 11223-1722
(718) 612-7999
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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