Individual
OLGA KRIVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4224 HOUMA BLVD STE 470, METAIRIE, LA 70006-2980
(504) 456-5160
(504) 469-1979
Mailing address
5920 WHEELER DR, METAIRIE, LA 70003
(504) 888-2945
(504) 469-1979
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L14028R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1484733
—
LA
01
—
P00266138
MEDICARE RAIL ROAD
LA
Enumeration date
09/07/2006
Last updated
02/27/2008
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