Individual
OLEG POLYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
873 BROADWAY, NEW YORK, NY 10003-1231
(917) 596-1443
Mailing address
108-136 MLK JR BLVD APT 1513, NEWARK, NJ 07104-5367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032225
NY
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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