Individual
DR. OLGA TYULENEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 BRIGHTON BEACH AVE, UNIT 1XZ, BROOKLYN, NY 11235-5572
(718) 232-5050
(718) 232-1269
Mailing address
1120 BRIGHTON BEACH AVE, UNIT 1XZ, BROOKLYN, NY 11235-5572
(718) 232-5050
(718) 232-1269
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
226635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02367251
—
NY
Enumeration date
09/01/2005
Last updated
07/18/2011
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