Individual
OLGA KUBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-1750
Mailing address
17-20 BELLAIR AVE, FAIR LAWN, NJ 07410-2145
(516) 306-6026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F353810
NY
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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