Individual
OLGA KOZACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 420-4412
Mailing address
317 E. 17TH STREET, 7TH FLOOR, NEW YORK, NY 10003
(212) 420-4412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307312
NY
Other
Enumeration date
12/01/2015
Last updated
10/04/2023
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